Great Lakes Pain and Injury Center
Great Lakes Pain and Injury Center is a Physical Therapy Clinic/Center in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2017.
- Licensed in
- MI
- In the registry since
- 2017
Practice location Address checks out
15565 Northland Dr Ste 103 WSouthfield, MI 48075
Phone: (248) 809-2094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Clinic/Center (primary) | Taxonomy 261QP2000X · Licence 5501013218 (MI) |
|---|
Record details
| NPI number | 1548706534 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jaimon Jacob — Physical Therapist · (248) 809-2094 |
| NPI enumerated | January 13, 2017 |
| Last updated in NPPES | January 13, 2017 |
| Mailing address | 15565 Northland Dr., Suite 103 W, Southfield, MI 48075 |
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