Organization
ONE PRO THERAPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAWANA BROWN (OWNER)
(313) 701-0744
Entity
Organization
Contact information
Practice address
15565 NORTHLAND DR, SUITE 208E, SOUTHFIELD, MI 48075
(248) 809-3141
(248) 809-6905
Mailing address
15565 NORTHLAND DR, SUITE 208E, SOUTHFIELD, MI 48075
(248) 809-3141
(248) 809-6905
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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