Healthcare Provider Details

I. General information

NPI: 1073842167
Provider Name (Legal Business Name): HEALING TOUCH PHYSICAL & OCCUPATIONAL THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2009
Last Update Date: 12/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 E GRAND RIVER AVE SUITE 104A
BRIGHTON MI
48116-1551
US

IV. Provider business mailing address

455 E GRAND RIVER AVE SUITE 104A
BRIGHTON MI
48116-1551
US

V. Phone/Fax

Practice location:
  • Phone: 810-360-5890
  • Fax:
Mailing address:
  • Phone: 810-360-5890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number5501006022
License Number StateMI

VIII. Authorized Official

Name: MR. SAMIR KUMAR BARMAN
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 810-360-5890