Organization
PHYSIO DYNAMICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMAR PATEL PT (OWNER)
(248) 208-7294
Entity
Organization
Contact information
Practice address
25865 W 12 MILE RD, SOUTHFIELD, MI 48034-1817
(248) 208-7492
Mailing address
25865 W 12 MILE RD, SOUTHFIELD, MI 48034-1817
(248) 208-7492
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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