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Organization

PROFESSIONAL PHYSICAL THERAPY PC

Active
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Organization

PROFESSIONAL PHYSICAL THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIKAS AHLUWALIA RPT (PRESIDENT)
(586) 268-1929
Entity
Organization

Contact information

Practice address
29201 TELEGRAPH RD, SUITE 220, SOUTHFIELD, MI 48034
(248) 301-9219
(586) 268-1933
Mailing address
29201 TELEGRAPH RD STE 220, SOUTHFIELD, MI 48034-7645
(248) 301-9219
(586) 268-1933

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005266
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104690994
MOLINA HMO
MI
05
104690994
MI
01
204258600
US DEPT OF LABOR
MI
01
50018892
HAP
MI
01
650F357800
BCBSM
MI
Enumeration date
05/14/2007
Last updated
06/03/2026
About Stedi
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