Organization
ADVANCE ANATOMY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALIF O KARRIEM (COO)
(248) 893-7766
Entity
Organization
Contact information
Practice address
19323 FARMINGTON RD, LIVONIA, MI 48152-1404
(248) 893-7766
Mailing address
19323 FARMINGTON RD, LIVONIA, MI 48152-1404
(248) 893-7766
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B635765497662
—
MI
Enumeration date
01/28/2019
Last updated
01/28/2019
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