Organization
MOBILITY WORKS THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINO RAJU MANIMALETHU PTA. (OWNER)
(586) 222-9043
Entity
Organization
Contact information
Practice address
49650 LAKEBRIDGE DR, SHELBY TWP, MI 48315-3511
(586) 222-9043
Mailing address
49650 LAKEBRIDGE DR, SHELBY TWP, MI 48315-3511
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5502003615
MI
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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