Organization
HQ OF WEST BLOOMFIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A KNIGHT (CEO)
(248) 601-9207
Entity
Organization
Contact information
Practice address
4312 ORCHARD LAKE RD, STE 100, WEST BLOOMFIELD, MI 48323-1637
(248) 788-6100
Mailing address
1773 STAR BATT DR, ROCHESTER HILLS, MI 48309-3708
(248) 601-9207
(248) 650-8670
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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