Innovation Physical Therapy, LLC
Physical Therapist in Livonia, MI. Organization (NPI-2).
NPI number1760626162
StatusActive
Last updated in NPPESJul 28, 2009
Details
- NPI
- 1760626162
- Entity type
- Organization (NPI-2)
- Legal business name
- Innovation Physical Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Apr 29, 2009
- Last updated
- Jul 28, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
37451 Kingsburn DrLivonia, MI 48152-2687
Phone 734-462-9300 · Fax 734-462-9301
Mailing address
Po Box 531424Livonia, MI 48153-1424
Phone 734-462-9300 · Fax 734-462-9301
Authorized official
Laura K. Ahmad
President
2488881958
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