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Organization
ARBOR AUTISM CENTERS ALLIED HEALTH LLC
Active
Organization
ARBOR AUTISM CENTERS ALLIED HEALTH LLC
Active
Parent organization
ARBOR AUTISM CENTERS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARBOR AUTISM CENTERS LLC
Authorized official
PHILIP MENARD (MEMBER)
(734) 657-1470
Entity
Organization
Contact information
Practice address
1400 HATCHER CRES, ANN ARBOR, MI 48103-2426
(734) 657-1470
(734) 527-5981
Mailing address
1400 HATCHER CRES, ANN ARBOR, MI 48103-2426
(734) 657-1470
(734) 527-5981
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225321763
TYPE 1 NPI
—
01
—
1770068579
TYPE 1 NPI
—
01
—
5201010302
MI LARA OT LICENSE
MI
01
—
7101003147
MI LARA SLP LICENSE
MI
Enumeration date
07/13/2021
Last updated
07/13/2021
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