Kelli Weak, | |
5840 Interface Dr Ste 400, Ann Arbor, MI 48103 | |
(734) 627-8001 | |
Not Available |
Full Name | Kelli Weak |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 5840 Interface Dr Ste 400, Ann Arbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669969812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501005424 (Michigan) | Primary |
Provider Name | Level 11 Physical Therapy |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1730317785 PECOS PAC ID: 8527104835 Enrollment ID: O20100422000188 |
Mailing Address | Practice Location Address |
---|---|
Kelli Weak, 5840 Interface Dr Ste 400, Ann Arbor, MI 48103-9176 Ph: (734) 627-8001 | Kelli Weak, 5840 Interface Dr Ste 400, Ann Arbor, MI 48103 Ph: (734) 627-8001 |
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