Organization
POLAR PHYSICAL THERAPY AND FITNESS P.L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE K PLICHOTA DPT, CPT (DOCTOR OF PHYSICAL THERAPY/OWNER)
(586) 596-8258
Entity
Organization
Contact information
Practice address
36292 FARMBROOK DR, CLINTON TWP, MI 48035-1508
(586) 596-8258
Mailing address
36292 FARMBROOK DR, CLINTON TWP, MI 48035-1508
(586) 596-8258
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501017229
LICENSE ID
MI
Enumeration date
12/06/2019
Last updated
12/06/2019
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