| |
2570 Jackson Ave, Ste C, Ann Arbor, MI 48103-3853 | |
(734) 823-7820 | |
(734) 823-7821 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center |
Location | 2570 Jackson Ave, Ann Arbor, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316472285 | 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 |
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600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-1980 | 2570 Jackson Ave, Ste C, Ann Arbor, MI 48103-3853 Ph: (734) 823-7820 |