Organization
RIDE4FUN BRIDGEWATER FARMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEEL N. SHETH M.D. (PRESIDENT OF THE BOARD)
(734) 944-6651
Entity
Organization
Contact information
Practice address
8957 AUSTIN RD, SALINE, MI 48176-9686
(734) 944-6651
(734) 944-6651
Mailing address
8957 AUSTIN RD, SALINE, MI 48176-9686
(734) 944-6651
(734) 944-6651
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501003428
MI
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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