Healthcare Provider Details
I. General information
NPI: 1881879823
Provider Name (Legal Business Name): SALINE PHYSICAL THERAPY OF MICHIGAN LTD.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/09/2008
Last Update Date: 01/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
505 E MICHIGAN AVE
SALINE MI
48176-1588
US
IV. Provider business mailing address
1300 W SAM HOUSTON PKWY S SUITE 300
HOUSTON TX
77042-2447
US
V. Phone/Fax
- Phone: 734-944-1005
- Fax: 734-944-1303
- Phone: 713-297-7000
- Fax: 713-297-7090
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JANNA
KING
Title or Position: VP, AUTHORIZED OFFICIAL
Credential: JD
Phone: 713-297-7000