Organization
ROYAL OAK PEDIATRIC THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM RUSSELL HALL (GENERAL MANAGER)
(734) 972-1292
Entity
Organization
Contact information
Practice address
419 W BLOOMFIELD AVE, ROYAL OAK, MI 48073-2567
(734) 972-1292
Mailing address
419 W BLOOMFIELD AVE, ROYAL OAK, MI 48073-2567
(734) 972-1292
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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