Healthcare Provider Details

I. General information

NPI: 1942777503
Provider Name (Legal Business Name): FAMILY FIRST PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2018
Last Update Date: 10/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1681 E AUBURN RD STE A
ROCHESTER HILLS MI
48307-5583
US

IV. Provider business mailing address

1681 E AUBURN RD STE A
ROCHESTER HILLS MI
48307-5583
US

V. Phone/Fax

Practice location:
  • Phone: 248-710-8383
  • Fax: 248-710-8385
Mailing address:
  • Phone: 248-710-8383
  • Fax: 248-710-8385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: NILESHKUMAR PATEL
Title or Position: ADMINISTRATROR
Credential: PT
Phone: 586-419-5857