Organization
INTEGRATED THERAPY AND DIAGNOSTICS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON L JONES (DIRECTOR)
(734) 645-0399
Entity
Organization
Contact information
Practice address
23077 GREENFIELD RD STE 110, SOUTHFIELD, MI 48075-3744
(248) 569-3002
Mailing address
23077 GREENFIELD RD STE 110, SOUTHFIELD, MI 48075-3744
(248) 569-3002
(248) 569-3008
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
D0637C
MI
Other
Enumeration date
01/30/2007
Last updated
11/08/2007
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