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Organization
PHYSICAL THERAPY TEAM, P.C.
Active
Organization
PHYSICAL THERAPY TEAM, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL DAVIS (ADMINISTRATOR)
(313) 618-1041
Entity
Organization
Contact information
Practice address
24060 W 10 MILE RD, STE 102, SOUTHFIELD, MI 48033-3006
(248) 746-1132
(248) 746-1133
Mailing address
28871 FARMINGTON RD, FARMINGTON HILLS, MI 48334-2613
(313) 618-1041
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/10/2007
Last updated
11/06/2013
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