Organization
IMAGE THERAPEUTIC CARE LLC
Active
Organization
IMAGE THERAPEUTIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUNASINGHE P HEWAGE PHYSICAL THERAPIST (PRESIDENT)
(313) 822-4220
Entity
Organization
Contact information
Practice address
25740 ARDEN PARK DR, FARMINGTON HILLS, MI 48336-1622
(313) 822-4220
(313) 822-4220
Mailing address
25740 ARDEN PARK DR, FARMINGTON HILLS, MI 48336-1622
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501006020
MI
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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