Organization
SPINE AND AQUATIC PHYSICAL THERAPY LLC
Active
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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