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Organization

411 PT INC

Active
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Organization

411 PT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIRNA FAYAD (OWNER)
(313) 850-7888
Entity
Organization

Contact information

Practice address
19201 W WARREN AVE, DETROIT, MI 48228-3393
(248) 996-9428
Mailing address
23265 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-7707

Taxonomy

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

Other

Enumeration date
08/03/2021
Last updated
07/28/2022
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