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Organization
MOVE TO SUCCESS PHYSICAL THERAPY
Active
Organization
MOVE TO SUCCESS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA KIRK DPT (DOCTOR OF PHYSICAL THERAPY)
(248) 881-5405
Entity
Organization
Contact information
Practice address
3150 LIVERNOIS RD STE 165, TROY, MI 48083-5061
(248) 707-0136
(248) 792-0510
Mailing address
1121 CHOPIN ST, TROY, MI 48083-1815
(248) 881-5405
(248) 792-0510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017913
MI
2251P0200X
Pediatric Physical Therapist
5501017913
MI
Other
Enumeration date
10/11/2017
Last updated
08/16/2023
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