| |
1801 W Maumee St, Suite 125, Adrian, MI 49221-1291 | |
(517) 264-6141 | |
(517) 263-5786 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center |
Location | 1801 W Maumee St, Adrian, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073920161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Michigan) | Secondary |
225X00000X | Occupational Therapist | (Michigan) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
625 Enterprise Dr, Oak Brook, IL 60523-8813 Ph: (630) 575-1980 | 1801 W Maumee St, Suite 125, Adrian, MI 49221-1291 Ph: (517) 264-6141 |