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Omni Kinetics

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

NPI number1760828131
StatusActive
Last updated in NPPESJun 28, 2013

Details

NPI
1760828131
Entity type
Organization (NPI-2)
Legal business name
Omni Kinetics
Organization subpart
No
Enumeration date
May 13, 2013
Last updated
Jun 28, 2013

Taxonomy and licenses

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

Practice location

8768 N Territorial Rd
C/O Fox Hills
Plymouth, MI 48170-5022

Phone 248-229-8628

Mailing address

3602 Normandy Rd
Royal Oak, MI 48073-1651

Phone 248-229-8628

Authorized official

Graham A Polakoff
Owner Operator
2482298628

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