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Abyssinia Love Knot Post Trauma Care,llc

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

NPI number1982957627
StatusActive
Last updated in NPPESOct 18, 2012

Details

NPI
1982957627
Entity type
Organization (NPI-2)
Legal business name
Abyssinia Love Knot Post Trauma Care,llc
Organization subpart
No
Enumeration date
Oct 18, 2012
Last updated
Oct 18, 2012

Taxonomy and licenses

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

Practice location

18591 W 10 Mile Rd Ste 4
Southfield, MI 48075-2619

Phone 248-262-7914

Mailing address

18591 W 10 Mile Rd Ste 4
Southfield, MI 48075-2619

Phone 248-262-7914

Authorized official

Samantha Turner
Manager
2482627914

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