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NPI Code Detail

MEDICARE: MISS SUSAN V PHILLIPS MPT

MEDICARE:  MISS SUSAN V PHILLIPS  MPT
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 Therapist5501012061MI

General Provider Information

NPI Number : 1851564538
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SUSAN V PHILLIPS MPT
Provider Business Mailing Address
First Line : 52900 GARFIELD RD
Second Line :
City : MACOMB
State : MI
Zip : 48042-3573
Country : US
Telephone Number : 586-991-1399
Fax Number : 586-218-3111
Provider Business Practice Location Address
First Line : 52900 GARFIELD RD
Second Line :
City : MACOMB
State : MI
Zip : 48042-3573
Country : US
Telephone Number : 586-991-1399
Fax Number : 586-218-3111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2008
Last Update Date : 07/31/2023

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Directions to “ MISS SUSAN V PHILLIPS MPT” Practice Location

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