Organization
CRAWL WALK JUMP RUN THERAPY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE SERAFIMOVSKI MPT (OWNER)
(586) 323-2957
Entity
Organization
Contact information
Practice address
43239 SCHOENHERR RD, STERLING HEIGHTS, MI 48313-1957
(586) 323-2957
(586) 323-0022
Mailing address
43239 SCHOENHERR RD, STERLING HEIGHTS, MI 48313-1957
(586) 323-2957
(586) 323-0022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104942376
—
MI
Enumeration date
12/27/2007
Last updated
02/02/2012
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