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Organization
REHABILITATION SPECIALISTS TOP OF TROY PC
Active
Organization
REHABILITATION SPECIALISTS TOP OF TROY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD BRICKEY (PT)
(248) 989-9422
Entity
Organization
Contact information
Practice address
5600 CROOKS RD, SUITE 104, TROY, MI 48098-2811
(248) 989-9422
(248) 989-9424
Mailing address
1037 WATER ST, SUITE 2, PORT HURON, MI 48060-4408
(810) 982-9541
(810) 982-5349
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501001690
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G41257
BCBSM
MI
01
—
5501001690
LICENSE
MI
01
—
650F328150
BCBSM
MI
01
—
650F357670
BCBSM
MI
Enumeration date
05/16/2007
Last updated
04/15/2011
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