Organization
DAVENPORT & ASSOCIATES PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALMA MARIE DAVENPORT PT (PHYSICAL THERAPIST/CEO)
(734) 483-1625
Entity
Organization
Contact information
Practice address
882 S. GROVE RD., UPPER SUITE, YPSILANTI, MI 48198
(734) 483-1625
Mailing address
LAKE POINTE CENTER, 882 S. GROVE RD. (UPPER SUITE), YPSILANTI, MI 48198
(734) 483-1625
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
5501009797
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650H114050
BLUE CROSS
MI
Enumeration date
07/07/2006
Last updated
08/18/2008
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