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General NPI Number Information
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NPI Number | 1073693479
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Entity Type | Organization
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Legal Business Name | SPECTRUM DEVELOPMENT CORPORATION
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 34514-DEQUINDRE ROAD SUITE A
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-1701
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Country | US
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Telephone | 248-557-2154
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Fax | 248-557-0613
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Provider Business Mailing Address
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Address Line | 34514 DEQUINDRE ROAD SUITE A
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-1701
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Country | US
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Telephone | 248-557-2154
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Fax | 248-557-0613
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Authorized Official
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Title or Position | PRESIDENT.
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Name | MS. CHERRY CATRAL
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Credential |
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Telephone | 248-557-2154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | MI
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