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NPI Code Detail

MEDICARE: THE CENTER FOR THERAPEUTIC LEARNING AND COMMUNICATION, PLLC

MEDICARE: THE CENTER FOR THERAPEUTIC LEARNING AND COMMUNICATION, PLLC
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
1103K00000XBehavior Analyst
2106S00000XBehavior Technician
32081P0010XPediatric Rehabilitation Medicine Physician
4224Z00000XOccupational Therapy Assistant
5224ZF0002XFeeding, Eating & Swallowing Occupational Therapy Assistant
62251P0200XPediatric Physical Therapist
7235Z00000XSpeech-Language Pathologist
8225XP0200XPediatric Occupational Therapist
9261QR0400XRehabilitation Clinic/Center5201007130MI
10261QR0400XRehabilitation Clinic/CenterMI

General Provider Information

NPI Number : 1699966341
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CENTER FOR THERAPEUTIC LEARNING AND COMMUNICATION, PLLC
Provider Business Mailing Address
First Line : 30330 HICKEY RD
Second Line :
City : CHESTERFIELD
State : MI
Zip : 48051-3911
Country : US
Telephone Number : 586-421-4062
Fax Number : 586-421-4072
Provider Business Practice Location Address
First Line : 30330 HICKEY RD
Second Line :
City : CHESTERFIELD
State : MI
Zip : 48051-3911
Country : US
Telephone Number : 586-421-4062
Fax Number : 586-421-4072
Authorized Official
Title or Position : HR GENERALIST
Name : SARAH LANDRUM
Credential :
Telephone Number : 586-421-4062
Provider Enumeration Date : 08/07/2007
Last Update Date : 01/12/2024

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