Organization
PHYSICAL THERAPY & PAIN CLINIC,INC
Active
Other names
AquatiCare P.T
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTAL MARIE PIESKO (ADMINISTRATOR)
(586) 228-7000
Entity
Organization
Contact information
Practice address
15501 METROPOLITAN PKWY, SUITE 102, CLINTON TWP, MI 48036-1684
(586) 228-7000
(586) 228-7007
Mailing address
15501 METROPOLITAN PKWY, SUITE 102, CLINTON TWP, MI 48036-1684
(586) 228-7000
(586) 228-7007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
03/30/2008
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