Organization
MICHIGAN ORTHOPAEDIC PHYSICAL THERAPY
Active
Other names
Michigan Hand Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY LOREN WIATER PT, DPT, MBA (OWNER, PHYSICAL THERAPIST)
(248) 566-3525
Entity
Organization
Contact information
Practice address
4401 W 13 MILE RD, ROYAL OAK, MI 48073-6516
(248) 566-3525
(248) 566-3527
Mailing address
4401 W 13 MILE RD, ROYAL OAK, MI 48073-6516
(248) 566-3525
(248) 566-3527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
5501015108
MI
Other
Enumeration date
04/20/2012
Last updated
02/15/2024
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