Organization
CAPTIVA OUTPATIENT PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE KAYAL (BILLER)
(313) 563-3220
Entity
Organization
Contact information
Practice address
15001 MICHIGAN AVE, #200, DEARBORN, MI 48126-2912
(313) 563-3220
(313) 563-3229
Mailing address
15001 MICHIGAN AVE, #200, DEARBORN, MI 48126-2912
(313) 563-3220
(313) 563-3229
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
MI
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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