Organization
LIFELINK THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRISELDA CUETO DE LUNA RN, BSN (PRESIDENT)
(248) 703-1711
Entity
Organization
Contact information
Practice address
31201 CHICAGO RD S, STE. B-301, WARREN, MI 48093-5527
(586) 558-9112
(586) 558-9113
Mailing address
31201 CHICAGO RD S, STE. B-301, WARREN, MI 48093-5527
(586) 558-9112
(586) 558-9113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
470417987
MI
225100000X
Physical Therapist
5501006363
MI
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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