Organization
CLEGG, GUEST & BRABANT PHYSICAL REHABILITATION, P.C.
Active
Other names
Clegg & Guest Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY J GUEST PT, FAAOMPT, OCS (OWNER/ADMIN)
(586) 978-7900
Entity
Organization
Contact information
Practice address
35413 SCHOENHERR RD, STERLING HEIGHTS, MI 48312-4258
(586) 978-7900
(586) 978-7710
Mailing address
35413 SCHOENHERR RD, STERLING HEIGHTS, MI 48312-4258
(586) 978-7900
(586) 978-7710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501001771
MI
225100000X
Physical Therapist
5501002831
MI
225100000X
Physical Therapist
5501002893
MI
225X00000X
Occupational Therapist
5201000760
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30462
BCBS
—
Enumeration date
06/24/2006
Last updated
10/07/2020
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