# MICHIGAN PHYSICAL MEDICINE AND REHABILITATION, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295741619
- **Authorized official:** DR. MICHELLE L BRADLEY D.O. (PRESIDENT)
- **Authorized official phone:** (586) 468-3900

## Contact information

- **Practice address:** 20950 HARRINGTON ST, CLINTON TOWNSHIP, MI 48036-1923
- **Practice address phone:** (586) 468-3900
- **Practice address fax:** (586) 468-9811
- **Mailing address:** 20950 HARRINGTON ST, CLINTON TWP, MI 48036-1923
- **Mailing address phone:** (586) 468-3900
- **Mailing address fax:** (586) 468-9811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 5101012404 | MI | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 07/14/2008