Organization
AWAKENING MOVEMENTS FELDENKRAIS AND PHYSICAL THERAPY
Active
Organization
AWAKENING MOVEMENTS FELDENKRAIS AND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LISA DARLENE PONICHTER MPT, GCFP (PHYSICAL THERAPIST)
(248) 321-0358
Entity
Organization
Contact information
Practice address
1710 E 12 MILE RD STE 103, ROYAL OAK, MI 48073-4200
(248) 321-0358
Mailing address
1775 E 14 MILE RD, BIRMINGHAM, MI 48009-7206
(248) 321-0358
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501010870
MI
Other
Enumeration date
05/09/2013
Last updated
06/20/2024
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