Dearborn Life Care Physical Therapy, LLC
Clinic/Center, Physical Therapy in Dearborn, MI. Organization (NPI-2).
NPI number1780156448
StatusActive
Last updated in NPPESMar 14, 2019
Details
- NPI
- 1780156448
- Entity type
- Organization (NPI-2)
- Legal business name
- Dearborn Life Care Physical Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Dec 19, 2018
- Last updated
- Mar 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
6313 Schaefer RdDearborn, MI 48126-2210
Phone 313-633-0963 · Fax 313-791-7154
Mailing address
6313 Schaefer RdDearborn, MI 48126-2210
Phone 313-633-0963 · Fax 313-791-7154
Authorized official
Wendy Mahan
Manager
7343413328
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All 42 Physical Therapy Clinic/Center providers in Dearborn · All 7,276 providers in Dearborn
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