Organization
AUSTRALIAN INSTITUTE OF MANUAL THERAPY, PLLC
Active
Other names
Australian Manual Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGUS JONOTHAN WILLIAMS PHYSICAL THERAPIST (OWNER)
(734) 834-2319
Entity
Organization
Contact information
Practice address
120 CATALPA DR, ROYAL OAK, MI 48067-1242
(248) 703-9147
(248) 556-5543
Mailing address
120 CATALPA DR, ROYAL OAK, MI 48067-1242
(248) 703-9147
(248) 556-5543
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501010874
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650F360770
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
04/16/2008
Last updated
09/10/2008
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