Spine And Aquatic Physical Therapy Llc | |
15240 Merriman Rd, Livonia, MI 48154-3570 | |
(734) 513-7755 | |
Not Available |
Full Name | Spine And Aquatic Physical Therapy Llc |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 15240 Merriman Rd, Livonia, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1346947116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Sanjay Thakral |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811055502 PECOS PAC ID: 5698878692 Enrollment ID: I20070313000138 |
Provider Name | Sabina N Ahmed |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093953754 PECOS PAC ID: 8729115720 Enrollment ID: I20100422001141 |
Provider Name | Aarohi A Shah |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114479300 PECOS PAC ID: 5294019790 Enrollment ID: I20170301000511 |
Provider Name | William Jesse Wachter |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609348937 PECOS PAC ID: 1557694387 Enrollment ID: I20190611002245 |
Mailing Address | Practice Location Address |
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Spine And Aquatic Physical Therapy Llc Po Box 703207, Plymouth, MI 48170-0994 Ph: () - | Spine And Aquatic Physical Therapy Llc 15240 Merriman Rd, Livonia, MI 48154-3570 Ph: (734) 513-7755 |