# PHYSICAL COGNITIVE NETWORK, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750619409
- **Authorized official:** JAMES E BEALE JR. M.D. (SOLE OWNER AND MEDICAL DIRECTOR)
- **Authorized official phone:** (586) 552-1525

## Contact information

- **Practice address:** 28550 SCHOENHERR RD, WARREN, MI 48088-4329
- **Practice address phone:** (586) 552-1562
- **Practice address fax:** (586) 552-1535
- **Mailing address:** 28550 SCHOENHERR RD, WARREN, MI 48088-4329
- **Mailing address phone:** (586) 552-1562
- **Mailing address fax:** (586) 552-1535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 035963 | MI | Yes |

## Other

- **Enumeration date:** 11/18/2009
- **Last updated:** 12/07/2009
