Healthcare Provider Details

I. General information

NPI: 1558106906
Provider Name (Legal Business Name): VOICE AND MOTION THERAPY LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2024
Last Update Date: 07/02/2024
Certification Date: 07/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13019 PAULINE DR
SHELBY TOWNSHIP MI
48315-3122
US

IV. Provider business mailing address

13019 PAULINE DR
SHELBY TOWNSHIP MI
48315-3122
US

V. Phone/Fax

Practice location:
  • Phone: 586-207-0600
  • Fax: 248-403-8506
Mailing address:
  • Phone: 586-207-0600
  • Fax: 248-403-8506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRIS MARRIOTT
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 586-207-0600