Providence Physical Therapy
Providence Physical Therapy provides Physical Therapist services in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2014.
- Licensed in
- MI
- In the registry since
- 2014
Practice location Address checks out
20180 W 12 Mile Rd Ste 100Southfield, MI 48076-5412 Not confirmed with CMS for 11 years — call before visiting
Phone: (248) 223-9230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence HR014291 (MI) |
|---|
Record details
| NPI number | 1124416912 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amena Saad — Credentialer · (313) 655-4544 |
| NPI enumerated | December 31, 2014 |
| Last updated in NPPES | December 31, 2014 |
| Mailing address | 20180 W 12 Mile Rd, Suite 100, Southfield, MI 48076-5412 |
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