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NPI Code Detail

MEDICARE: MRS. MICHELLE LOUISE RAMIREZ D.P.T

MEDICARE: MRS. MICHELLE LOUISE RAMIREZ D.P.T
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 TherapistMI

General Provider Information

NPI Number : 1336278167
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE LOUISE RAMIREZ D.P.T
Provider Business Mailing Address
First Line : 9145 HIGHLAND RD
Second Line :
City : WHITE LAKE
State : MI
Zip : 48386-2033
Country : US
Telephone Number : 248-698-1277
Fax Number : 248-698-2089
Provider Business Practice Location Address
First Line : 9145 HIGHLAND RD
Second Line :
City : WHITE LAKE
State : MI
Zip : 48386-2033
Country : US
Telephone Number : 248-698-1277
Fax Number : 248-698-2089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/08/2007

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