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Organization

YOUR PLACE OR MINES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VERONYCA RASHEEDA CORNISH (CEO)
(313) 457-4314
Entity
Organization

Contact information

Practice address
20010 KELLY RD, HARPER WOODS, MI 48225-1909
(313) 457-4314
Mailing address
20010 KELLY RD, HARPER WOODS, MI 48225-1909
(313) 457-4314

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
08/11/2008
Last updated
08/11/2008
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