Healthcare Provider Details

I. General information

NPI: 1275756942
Provider Name (Legal Business Name): NEIL KING PHYSICAL THERAPY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 05/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 HAMPTON CIR
ROCHESTER HILLS MI
48307-4103
US

IV. Provider business mailing address

141 HAMPTON CIR
ROCHESTER HILLS MI
48307-4103
US

V. Phone/Fax

Practice location:
  • Phone: 248-853-7555
  • Fax: 248-853-7556
Mailing address:
  • Phone: 248-853-7555
  • Fax: 248-853-7556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. NEIL G KING
Title or Position: OWNER
Credential: P.T
Phone: 248-853-7555