Organization
ROM PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ATILANO MANUELITO MENDOZA MANALESE RPT (OWNER)
(248) 308-8215
Entity
Organization
Contact information
Practice address
28679 BAYBERRY CT E, LIVONIA, MI 48154-3869
(248) 308-8215
Mailing address
28679 BAYBERRY CT E, LIVONIA, MI 48154-3869
(248) 308-8215
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501011779
MI
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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