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NPI Code Detail

MEDICARE: PHYSICAL THERAPY PROFESSIONALS

MEDICARE: PHYSICAL THERAPY PROFESSIONALS
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
1261QX0100XOccupational Medicine Clinic/Center5201001418MI

General Provider Information

NPI Number : 1831463173
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICAL THERAPY PROFESSIONALS
Provider Business Mailing Address
First Line : 50475 GRATIOT AVE
Second Line : SUITE B
City : CHESTERFIELD
State : MI
Zip : 48051-3128
Country : US
Telephone Number : 586-598-0050
Fax Number : 586-598-1804
Provider Business Practice Location Address
First Line : 50475 GRATIOT AVE
Second Line : SUITE B
City : CHESTERFIELD
State : MI
Zip : 48051-3128
Country : US
Telephone Number : 586-598-0050
Fax Number : 586-598-1804
Authorized Official
Title or Position : MEDICAL BILLER
Name : CINDY FARTHING
Credential :
Telephone Number : 586-598-0050
Provider Enumeration Date : 03/05/2012
Last Update Date : 03/05/2012

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Directions to “PHYSICAL THERAPY PROFESSIONALS ” Practice Location

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