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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