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Organization
MILLENNIUM PT & REHAB SERVICES, PC
Active
Organization
MILLENNIUM PT & REHAB SERVICES, PC
Active
Other names
MILLENNIUM PHYSICAL THERAPY Rehabilitation and Wellness.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUBHASIS MOHANTY PT,DPT (PRESIDENT)
(810) 732-2252
Entity
Organization
Contact information
Practice address
5245 W PIERSON RD, SUITE-2, FLUSHING, MI 48433-2411
(810) 732-2252
(810) 732-4303
Mailing address
5245 WEST PIERSON ROAD., SUITE-2, FLUSHING, MI 48433-3244
(810) 732-2252
(810) 732-4303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006170
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4501335
—
MI
01
—
650B557140
BCBS
MI
Enumeration date
04/11/2007
Last updated
09/10/2013
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