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NPI Code Detail

MEDICARE: LEAH TERRILL PARIZON-MITTEER PT

MEDICARE: LEAH TERRILL PARIZON-MITTEER PT
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 Therapist5501006542MI

General Provider Information

NPI Number : 1679534168
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH TERRILL PARIZON-MITTEER PT
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 : 586-416-9100
Fax Number : 586-416-9103
Provider Business Practice Location Address
First Line : 5670 N TELEGRAPH RD
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-3219
Country : US
Telephone Number : 313-663-3958
Fax Number : 313-663-9589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2006
Last Update Date : 05/27/2016

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Directions to “ LEAH TERRILL PARIZON-MITTEER PT” Practice Location

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