Organization
FORM & FOCUS- REHAB & WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE ANDARY (PHYSICAL THERAPIST)
(586) 443-6176
Entity
Organization
Contact information
Practice address
22576 VISNAW ST, SAINT CLAIR SHORES, MI 48081-2641
(586) 443-6176
Mailing address
22576 VISNAW ST, SAINT CLAIR SHORES, MI 48081-2641
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/17/2023
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