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Organization
SPECIAL THERAPY CARE
Active
Organization
SPECIAL THERAPY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN HATHORN (OWNER)
(248) 565-6454
Entity
Organization
Contact information
Practice address
29891 CITATION CIR, UNIT 51101, FARMINGTON HILLS, MI 48331-4914
(248) 565-6454
Mailing address
29891 CITATION CIR, UNIT 51101, FARMINGTON HILLS, MI 48331-4914
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
09/12/2011
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