Organization
MIRACLE LOVEKNOT PHYSICAL THERAPY LLC
Active
Organization
MIRACLE LOVEKNOT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY A DOUGLAS (CEO)
(734) 451-0600
Entity
Organization
Contact information
Practice address
24800 NORTHWESTERN HWY, SUITE 2, SOUTHFIELD, MI 48075-2319
(248) 395-2234
Mailing address
24800 NORTHWESTERN HWY, SUITE 2, SOUTHFIELD, MI 48075-2319
(248) 395-2234
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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