Organization
PHYSICAL THERAPY HEALTHCARE CENTER, P.C.
Active
Organization
PHYSICAL THERAPY HEALTHCARE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEEPAK A SARDEY PHYSICAL THERAPIST (REHAB DIRECTOR)
(586) 677-5574
Entity
Organization
Contact information
Practice address
54750 MOUND RD, SHELBY TOWNSHIP, MI 48316-1706
(586) 677-5574
(586) 677-5578
Mailing address
54750 MOUND RD, SHELBY TOWNSHIP, MI 48316-1706
(586) 677-5574
(586) 677-5578
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501005868
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4157105
—
MI
01
—
650E05729
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
01/06/2010
Last updated
01/06/2010
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