Organization
OP THERAPY, INC
Active
Other names
In House Diagnostic Services
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 48033-3012
(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
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F329390
BCBSM
MI
Enumeration date
05/15/2006
Last updated
09/03/2010
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