Organization
SPINE AND AQUATIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY THAKRAL DPT (OWNER)
(734) 513-7755
Entity
Organization
Contact information
Practice address
15240 MERRIMAN RD, LIVONIA, MI 48154-3570
(734) 513-7755
Mailing address
PO BOX 703207, PLYMOUTH, MI 48170-0994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
08/21/2023
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