Organization
MERCY PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BAN DALLY (OWNER)
(248) 250-2627
Entity
Organization
Contact information
Practice address
5961 PERRYTOWN CT, W BLOOMFIELD, MI 48322-1502
(248) 250-2627
Mailing address
5961 PERRYTOWN CT, W BLOOMFIELD, MI 48322-1502
(248) 250-2627
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PENDING
MI
Enumeration date
09/08/2014
Last updated
09/08/2014
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