Organization
AIM HIGH RECREATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN MERRITT (PARTNER)
(248) 714-0374
Entity
Organization
Contact information
Practice address
47560 AVANTE DR, WIXOM, MI 48393-3617
(248) 714-0374
Mailing address
PO BOX 250291, WEST BLOOMFIELD, MI 48325-0291
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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