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Organization

PHYSICAL THERAPY TEAM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATHANIEL DAVIS (ADMINISTRATOR)
(313) 618-1041
Entity
Organization

Contact information

Practice address
1640 WEBB ST, DETROIT, MI 48206-1350
(313) 618-1041
(248) 991-1383
Mailing address
PO 21603, DETROIT, MI 48221
(313) 618-1041
(248) 553-8420

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
05/21/2007
Last updated
09/02/2008
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