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Organization
LAKE ORION CENTER FOR PELVIC REHABILITATION
Active
Organization
LAKE ORION CENTER FOR PELVIC REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIE M WILSON MPT (PHYSICAL THERAPIST, CLINIC OWNER)
(248) 972-5088
Entity
Organization
Contact information
Practice address
4405 S BALDWIN RD STE E, LAKE ORION, MI 48359-2164
(248) 972-5088
(888) 521-1825
Mailing address
4405 S BALDWIN RD STE E, LAKE ORION, MI 48359-2164
(248) 972-5088
(888) 521-1825
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
01/05/2021
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