Organization
PHYSICAL THERAPY MANAGEMENT MI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAWAN SHKOUKANI (OWNER)
(586) 202-6706
Entity
Organization
Contact information
Practice address
461 W HURON ST, SUITE # G70, PONTIAC, MI 48341-1601
(248) 747-3497
(800) 980-3329
Mailing address
PO BOX 431361, PONTIAC, MI 48343-1361
(248) 747-3497
(800) 980-3329
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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