| Renaissance Therapy Clinic Pllc | |
|
1o West Square Lake Rd Suite 221 Bloomfield Hills MI 48302-0466 | |
| (248) 990-0140 | |
| Not Available |
| Full Name | Renaissance Therapy Clinic Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1o West Square Lake Rd, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Vladimir Robert Vandalov (OWNER) |
| Authorized Official Contact | 2489900140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Therapy Clinic Pllc 1o West Square Lake Rd Suite 101 Bloomfield Hills MI 48302-0466 Ph: (248) 990-0140 | Renaissance Therapy Clinic Pllc 1o West Square Lake Rd Suite 221 Bloomfield Hills MI 48302-0466 Ph: (248) 990-0140 |
| NPI Number | 1407180284 |
|---|---|
| Provider Enumeration Date | 09/25/2009 |
| Last Update Date | 07/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407180284 | NPI | - | NPPES |
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