Organization
NOVA THERAPEUTIC MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE MAYCOCK (BILLING DIRECTOR)
(734) 673-5917
Entity
Organization
Contact information
Practice address
4121 OKEMOS RD STE 10, OKEMOS, MI 48864-3220
(317) 250-6200
(314) 667-6915
Mailing address
4121 OKEMOS RD STE 10, OKEMOS, MI 48864-3220
(317) 250-6200
(314) 667-6915
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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