Organization
MICHIGAN TRI-COUNTY PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOLITA M MALISKEY (PHYSICAL THERAPIST)
(586) 530-0904
Entity
Organization
Contact information
Practice address
28475 VAN DYKE AVE, WARREN, MI 48093-7132
(586) 806-4542
(586) 806-4546
Mailing address
28475 VAN DYKE AVE, WARREN, MI 48093-7132
(586) 806-4542
(586) 806-4546
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501009638
MI
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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