Organization
OP THERAPY, INC.
Active
Other names
In-House Diagnostic Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN COOKE (PRESIDENT)
(800) 950-3005
Entity
Organization
Contact information
Practice address
24301 TELEGRAPH RD, SOUTHFIELD, MI 48034-3012
(800) 950-3005
(248) 356-9297
Mailing address
24301 TELEGRAPH RD, SOUTHFIELD, MI 48033-3012
(800) 950-3005
(248) 356-9297
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
—
—
246XC2903X
Vascular Specialist/Technologist Cardiovascular
—
—
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M87140
BCBSM
MI
Enumeration date
04/23/2007
Last updated
08/10/2010
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