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Organization
SPORTS CLUB PHYSICAL THERAPY PLLC
Active
Organization
SPORTS CLUB PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD OPPAT (OWNER)
(248) 227-9812
Entity
Organization
Contact information
Practice address
6343 FARMINGTON RD, W BLOOMFIELD, MI 48322-2206
(248) 227-9812
Mailing address
28634 LINCOLNVIEW DR, FARMINGTON HILLS, MI 48334-5250
(248) 227-9812
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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