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Organization

MENDELSON KORNBLUM PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATIE PRING (PT SUPRIVISOR)
(586) 582-0340
Entity
Organization

Contact information

Practice address
29703 HOOVER RD STE A, WARREN, MI 48093-8901
(586) 582-0340
Mailing address
29703 HOOVER RD STE A, WARREN, MI 48093-8901
(586) 582-0340

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
L1862359
MI

Other

Enumeration date
03/16/2011
Last updated
03/16/2011
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