| |
1940 S Telegraph Rd, Bloomfield Hills, MI 48302-0245 | |
(248) 409-0490 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center |
Location | 1940 S Telegraph Rd, Bloomfield Hills, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699158758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Illinois) | Secondary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-6200 | 1940 S Telegraph Rd, Bloomfield Hills, MI 48302-0245 Ph: (248) 409-0490 |