Organization
FATE PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MARIE KLEM DPT (OWNER/PHYSICAL THERAPIST)
(248) 703-7078
Entity
Organization
Contact information
Practice address
48845 WEST RD, WIXOM, MI 48393-3556
(248) 703-7078
Mailing address
57533 APPLE LN, NEW HUDSON, MI 48165-9504
(248) 703-7078
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
03/21/2020
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