Organization
ST ABYSSINIA PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY DOUGLAS (OWNER)
(248) 395-2234
Entity
Organization
Contact information
Practice address
24800 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-2319
(248) 395-2234
Mailing address
24800 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-2319
(248) 395-2234
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
About Stedi
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