Healthcare Provider Details
I. General information
NPI: 1982900791
Provider Name (Legal Business Name): SALINE PHYSICAL THERAPY OF MICHIGAN LTD.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/27/2011
Last Update Date: 01/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3256 WASHTENAW AVE
ANN ARBOR MI
48104-4250
US
IV. Provider business mailing address
505 E MICHIGAN AVE
SALINE MI
48176-1588
US
V. Phone/Fax
- Phone: 734-975-9100
- Fax: 734-975-9101
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTOPHER
D
CORRIGAN
Title or Position: VP, AUTHORIZED OFFCIAL
Credential:
Phone: 713-297-7000