Organization
CLINIC FOR FUNCTIONAL PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA THAYER (MANAGER, BILLING DEPARTMENT)
(248) 673-2762
Entity
Organization
Contact information
Practice address
5225 HIGHLAND RD, WATERFORD, MI 48327-1916
(248) 673-6980
(248) 673-7497
Mailing address
5225 HIGHLAND RD, WATERFORD, MI 48327-1916
(248) 673-6980
(248) 673-7497
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MI
Other
Enumeration date
05/13/2006
Last updated
10/12/2012
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