Organization
VICTORY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY SAGALA (ADMINISTRATOR)
(313) 595-5668
Entity
Organization
Contact information
Practice address
23300 GREENFIELD RD, SUITE 105, OAK PARK, MI 48237-5237
(248) 268-3180
(248) 268-3182
Mailing address
23300 GREENFIELD RD, SUITE 105, OAK PARK, MI 48237-5237
(248) 268-3180
(248) 268-3182
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
E4330N
MI
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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