Organization
STERLING THERAPY PROVIDER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLLY ELACO G ELACO PHYSICAL THERAPIST (PRESIDENT/CEO)
(313) 729-0799
Entity
Organization
Contact information
Practice address
38765 MOUND RD, STE. 101, STERLING HEIGHTS, MI 48310-3209
(586) 274-0750
(586) 274-0704
Mailing address
38765 MOUND RD, STE. 101, STERLING HEIGHTS, MI 48310-3209
(586) 274-0750
(586) 274-0704
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501011330
MI
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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