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NPI Code Detail

MEDICARE: DR. ANGELA MARKHAM DPT

MEDICARE: DR. ANGELA MARKHAM DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5501017130MI

General Provider Information

NPI Number : 1578959912
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA MARKHAM DPT
Provider Business Mailing Address
First Line : 33900 HARPER AVE
Second Line : SUITE 104
City : CLINTON TOWNSHIP
State : MI
Zip : 48035-4258
Country : US
Telephone Number : 586-350-2644
Fax Number : 586-541-3735
Provider Business Practice Location Address
First Line : 525 N MAIN ST STE 120
Second Line :
City : MILFORD
State : MI
Zip : 48381-1592
Country : US
Telephone Number : 248-329-3700
Fax Number : 248-329-3881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2015
Last Update Date : 05/13/2025

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Directions to “ DR. ANGELA MARKHAM DPT” Practice Location

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