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Organization
KIWI PT, LLC
Active
Organization
KIWI PT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE WIHONGI (OWNER)
(248) 949-5128
Entity
Organization
Contact information
Practice address
2330 S MILFORD RD, SUITE 108, HIGHLAND, MI 48357-4982
(248) 949-5128
Mailing address
2330 S MILFORD RD, SUITE 108, HIGHLAND, MI 48357-4982
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005651
MI
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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