Organization
OUTLAW PHYSICAL THERAPY, PLLC
Active
Organization
OUTLAW PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK OUTLAW (PHYSICAL THERAPIST)
(574) 333-8775
Entity
Organization
Contact information
Practice address
2882 DETROIT RD, NILES, MI 49120-9412
(574) 333-8775
Mailing address
2882 DETROIT RD, NILES, MI 49120-9412
(574) 333-8775
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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