Organization
PAIN RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWENDE RIED (OWNER)
(248) 809-3141
Entity
Organization
Contact information
Practice address
15565 NORTHLAND DR W STE 605W, SOUTHFIELD, MI 48075-5319
(248) 809-3141
Mailing address
15565 NORTHLAND DR W STE 605W, SOUTHFIELD, MI 48075-5319
(248) 809-3141
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MI
Enumeration date
10/12/2017
Last updated
06/16/2018
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