Organization
STRIDE PHYSICAL THERAPY INC.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GANESHKUMAR SHANMUGASUNDARAM RPT (ADMINISTRATOR)
(248) 334-9003
Entity
Organization
Contact information
Practice address
43750 WOODWARD AVE, SUITE 103, BLOOMFIELD HILLS, MI 48302-5063
(248) 334-9003
(248) 334-9334
Mailing address
43750 WOODWARD AVE, SUITE 103, BLOOMFIELD HILLS, MI 48302-5063
(248) 334-9003
(248) 334-9334
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501009846
MI
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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