Organization
OMNI KINETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRAHAM A POLAKOFF MS, ATC (OWNER OPERATOR)
(248) 229-8628
Entity
Organization
Contact information
Practice address
8768 N TERRITORIAL RD, C/O FOX HILLS, PLYMOUTH, MI 48170-5022
(248) 229-8628
Mailing address
3602 NORMANDY RD, ROYAL OAK, MI 48073-1651
(248) 229-8628
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2013
Last updated
06/28/2013
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