Organization
AXIS PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MORGAN ARIEL GLAZER (OWNER)
(248) 353-2225
Entity
Organization
Contact information
Practice address
24725 W 12 MILE RD STE 260, SOUTHFIELD, MI 48034-8310
(248) 550-4800
Mailing address
24725 W 12 MILE RD STE 260, SOUTHFIELD, MI 48034-8310
(248) 550-4800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
07/09/2024
Update your record
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