Organization
GREAT LAKES PAIN AND INJURY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIMON JACOB PT (PHYSICAL THERAPIST)
(248) 809-2094
Entity
Organization
Contact information
Practice address
15565 NORTHLAND DR., SUITE 103 W, SOUTHFIELD, MI 48075
(248) 809-2094
Mailing address
15565 NORTHLAND DR., SUITE 103 W, SOUTHFIELD, MI 48075
(248) 809-2094
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501013218
MI
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us