Organization
NORTHLAND PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENITA HANTALASEVIC (OWNER)
(248) 809-3878
Entity
Organization
Contact information
Practice address
16250 NORTHLAND DR STE 130, SOUTHFIELD, MI 48075-5221
(248) 809-3878
Mailing address
16250 NORTHLAND DR STE 130, SOUTHFIELD, MI 48075-5221
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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