Organization
THERAPY UNLIMITED, LLC
Active
Organization
THERAPY UNLIMITED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KELLER (ADMINISTRATOR)
(248) 952-4340
Entity
Organization
Contact information
Practice address
44125 W TWELVE MILE ROAD, E-123, BOX D7, NOVI, MI 48377-1980
(248) 952-4340
(248) 465-6059
Mailing address
44125 W TWELVE MILE ROAD, E-123, BOX D7, NOVI, MI 48377-1980
(248) 952-4340
(248) 465-6059
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501009589
MI
261QX0100X
Occupational Medicine Clinic/Center
5201009157
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H75004
BCBS
MI
Enumeration date
10/19/2011
Last updated
05/10/2019
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