Organization
PLAINE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO CARULLA (MANAGING MEMBER)
(248) 681-5113
Entity
Organization
Contact information
Practice address
1064 W HURON ST, WATERFORD, MI 48328-3730
(248) 681-5113
Mailing address
24152 SUSAN DR, FARMINGTON HILLS, MI 48336-2829
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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