Organization
GREAT LAKES PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI SHARMA PT (OWNER)
(248) 499-4243
Entity
Organization
Contact information
Practice address
19925 VERNIER RD STE 300, HARPER WOODS, MI 48225-1486
(248) 499-4243
Mailing address
19925 VERNIER RD STE 300, HARPER WOODS, MI 48225-1486
(248) 499-4243
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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