Healthcare Provider Details

I. General information

NPI: 1851214282
Provider Name (Legal Business Name): VISGER PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26211 CENTRAL PARK BLVD STE 150
SOUTHFIELD MI
48076-4107
US

IV. Provider business mailing address

45100 WEYMOUTH DR
CANTON MI
48188-3263
US

V. Phone/Fax

Practice location:
  • Phone: 734-748-5767
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DAMANDEEP GILL
Title or Position: OWNER ADMIN
Credential:
Phone: 734-748-5767