Organization
THE MEDICAL TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A. HILTZ COTAL (CERTIFIED OCCUPATIONAL THERAPY ASST)
(734) 283-2742
Entity
Organization
Contact information
Practice address
17197 N LAUREL PARK DR STE 555, LIVONIA, MI 48152-2686
(734) 779-9700
(734) 779-7999
Mailing address
17622 VALADE ST, RIVERVIEW, MI 48193-4721
(734) 283-2742
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5202007380
MI
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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