Organization
T'S BODY BAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEBERAH ALEXANDER (PRESIDENT)
(248) 313-2273
Entity
Organization
Contact information
Practice address
31410 NORTHWESTERN HWY, FARMINGTON HILLS, MI 48334
(248) 313-2273
Mailing address
33228 W 12 MILE RD # 361, FARMINGTON HILLS, MI 48334-3309
(248) 313-2273
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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