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Organization

RESTORE PHYSICAL THERAPY, LLC

Active
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Organization

RESTORE PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OLIVER C PATALINGHUG PT (MEMBER)
(248) 608-3149
Entity
Organization

Contact information

Practice address
2370 WALTON BLVD, SUITE 1, ROCHESTER HILLS, MI 48309-1471
(248) 608-3149
(248) 608-3149
Mailing address
61 W HAMLIN RD, ROCHESTER HILLS, MI 48307-3835
(248) 608-3149
(248) 608-3149

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005647
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024298
MIDWEST
MI
01
—
65-0-E0-1648-0
BCBS
MI
01
—
P00341360
RAILROAD MEDICARE
MI
01
—
P300380001
HAP
MI
Enumeration date
09/24/2006
Last updated
02/13/2009
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