Organization
PHYSICAL THERAPY SERVICES, INC.
Active
Other names
THERAMEDIC REHAB & PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
PANKAJ MAMTORA PT (OWNER PRESIDENT)
(248) 565-4000
Entity
Organization
Contact information
Practice address
26400 W 12 MILE RD STE 25, SOUTHFIELD, MI 48034-1774
(248) 565-4000
(248) 565-4020
Mailing address
26400 W 12 MILE RD STE 25, SOUTHFIELD, MI 48034-1774
(248) 565-4000
(248) 565-4020
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
MI
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/17/2008
Last updated
07/14/2020
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