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Physical Therapy Management Mi LLC

Clinic/Center, Physical Therapy in Pontiac, MI. Organization (NPI-2).

NPI number1639618267
StatusActive
Last updated in NPPESFeb 15, 2017

Details

NPI
1639618267
Entity type
Organization (NPI-2)
Legal business name
Physical Therapy Management Mi LLC
Organization subpart
No
Enumeration date
Feb 15, 2017
Last updated
Feb 15, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2000X Clinic/Center, Physical Therapy––Yes

Practice location

461 W Huron St
Suite # G70
Pontiac, MI 48341-1601

Phone 248-747-3497 · Fax 800-980-3329

Mailing address

Po Box 431361
Pontiac, MI 48343-1361

Phone 248-747-3497 · Fax 800-980-3329

Authorized official

Rawan Shkoukani
Owner
5862026706

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