Organization
DEARBORN LIFE CARE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY MAHAN (MANAGER)
(734) 341-3328
Entity
Organization
Contact information
Practice address
6313 SCHAEFER RD, DEARBORN, MI 48126-2210
(313) 633-0963
(313) 791-7154
Mailing address
6313 SCHAEFER RD, DEARBORN, MI 48126-2210
(313) 633-0963
(313) 791-7154
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
03/14/2019
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