Organization
ORTHOPEDIC SPINE AND SPORTS THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY CLARK (CREDENTIALING)
(586) 992-1500
Entity
Organization
Contact information
Practice address
54945 MOUND RD, SHELBY TOWNSHIP, MI 48316-6028
(586) 992-1500
(586) 992-8050
Mailing address
54945 MOUND RD, SHELBY TOWNSHIP, MI 48316-6028
(586) 992-1500
(586) 992-8050
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
MI
Other
Enumeration date
10/05/2007
Last updated
07/21/2022
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