Blue Sky Physical Therapy
Physical Medicine & Rehabilitation in St Clr Shores, MI. Organization (NPI-2).
NPI number1902467152
StatusActive
Last updated in NPPESJun 27, 2019
Details
- NPI
- 1902467152
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Sky Physical Therapy
- Organization subpart
- No
- Enumeration date
- Jun 27, 2019
- Last updated
- Jun 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
21600 Harper AveSt Clr Shores, MI 48080-2242
Phone 678-543-5635
Mailing address
21600 Harper AveSt Clr Shores, MI 48080-2242
Phone 678-543-5635
Authorized official
Wendell White
Owner
7854356356
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