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General NPI Number Information
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NPI Number | 1073842167
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Entity Type | Organization
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Legal Business Name | HEALING TOUCH PHYSICAL & OCCUPATIONAL THERAPY INC.
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Dates
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Enumeration Date | 12/18/2009
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Last Update Date | 12/18/2009
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Provider Practice Location Address
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Address Line | 455 E GRAND RIVER AVE SUITE 104A
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City | BRIGHTON
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State | MI
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Zip | 48116-1551
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Country | US
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Telephone | 810-360-5890
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Fax |
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Provider Business Mailing Address
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Address Line | 455 E GRAND RIVER AVE SUITE 104A
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City | BRIGHTON
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State | MI
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Zip | 48116-1551
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Country | US
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Telephone | 810-360-5890
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. SAMIR KUMAR BARMAN
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Credential | DPT
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Telephone | 810-360-5890
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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 | 5501006022
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License Number State | MI
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