Organization
PURELAND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO B FOSTER (IT)
(313) 600-6326
Entity
Organization
Contact information
Practice address
45555 MOUND RD, SHELBY TWP, MI 48317
(313) 600-6326
Mailing address
45555 MOUND RD, SHELBY TOWNSHIP, MI 48317-5100
(313) 600-6326
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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