Organization
TOTAL RECOVERY PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORETHEA ELLISON (OFFICE MANAGER)
(248) 792-3338
Entity
Organization
Contact information
Practice address
18161 W 13 MILE RD, SUITE E 3, SOUTHFIELD, MI 48076-1113
(248) 792-3338
Mailing address
18161 W 13 MILE RD, SUITE E 3, SOUTHFIELD, MI 48076-1113
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5501014024
IN
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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