Organization
HEAVENLY HANDS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A SMITH (OWNER)
(313) 850-1812
Entity
Organization
Contact information
Practice address
33228 W 12 MILE RD # 258, FARMINGTON HILLS, MI 48334-3309
(313) 850-1812
Mailing address
33228 W 12 MILE RD # 258, FARMINGTON HILLS, MI 48334-3309
(313) 850-1812
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MI
Enumeration date
02/28/2019
Last updated
02/28/2019
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