Organization
ACCREDITED PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY PUTVIN PT (PRESIDENT)
(586) 427-6641
Entity
Organization
Contact information
Practice address
5889 WHITMORE LAKE RD, SUITE C, BRIGHTON, MI 48116-1998
(810) 229-7931
(810) 229-7931
Mailing address
27733 SCHOENHERR RD, WARREN, MI 48088-6641
(586) 427-6641
(586) 427-6642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501001469
MI
Other
Enumeration date
06/09/2008
Last updated
12/15/2008
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