Bluestone Childrens Center, LLC
Speech-Language Pathologist, in Livonia, MI. Organization (NPI-2).
NPI number1982254041
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1982254041
- Entity type
- Organization (NPI-2)
- Legal business name
- Bluestone Childrens Center, LLC
- Organization subpart
- Yes
- Enumeration date
- Sep 19, 2019
- Certification date
- Sep 6, 2023
- Last updated
- Sep 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – | |
| 225XP0200X | Occupational Therapist, Pediatrics | – | – |
Other names
- Bluestone Pediatric Therapy (Doing Business As)
Practice location
38935 Ann Arbor Rd Ste 150Livonia, MI 48150-3397
Phone 248-886-9540 · Fax 248-254-6613
Mailing address
38935 Ann Arbor Rd Ste 150Livonia, MI 48150-3397
Phone 248-886-9540 · Fax 248-254-6613
Authorized official
Janet Kay Greulich
Business Manager
2488869540
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