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Organization
OMEGA PT LLC
Active
Organization
OMEGA PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH RUEFIEL (ADMINISTRATOR)
(248) 289-1127
Entity
Organization
Contact information
Practice address
130 HAMPTON CIR, SUITE 150, ROCHESTER HILLS, MI 48307-4195
(248) 289-1127
Mailing address
130 HAMPTON CIR, SUITE 150, ROCHESTER HILLS, MI 48307-4195
(248) 289-1127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016689
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501016689
STATE LICENSE
MI
Enumeration date
03/03/2015
Last updated
03/03/2015
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