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NPI Code Detail

MEDICARE: MS. LORI DANAE CALOIA PT ATC

MEDICARE: MS. LORI DANAE CALOIA PT ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5501011777MI

General Provider Information

NPI Number : 1083666499
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORI DANAE CALOIA PT ATC
Provider Business Mailing Address
First Line : 1701 SOUTH BLVD E STE 110
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-6118
Country : US
Telephone Number : 248-853-4431
Fax Number : 248-853-5048
Provider Business Practice Location Address
First Line : 1701 SOUTH BLVD E STE 110
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-6118
Country : US
Telephone Number : 248-853-4431
Fax Number : 248-853-5048
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 12/26/2024

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