MEDICARE: MARGARET ANN KAMENEC PT

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
1	225100000X	Physical Therapist	5501002141	MI

General Provider Information

NPI Number	:	1376762344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET ANN KAMENEC PT

Provider Business Mailing Address
First Line	:	754 WELLINGTON CIR
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-1580
Country	:	US
Telephone Number	:	248-608-1910
Fax Number	:

Provider Business Practice Location Address
First Line	:	5839 W MAPLE RD
Second Line	:	SUITE 100
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-2278
Country	:	US
Telephone Number	:	248-851-6999
Fax Number	:	248-851-6898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	07/08/2007

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