Organization
ALL SPORT PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVEEN BOHRA (MANAGER)
(313) 587-3168
Entity
Organization
Contact information
Practice address
28037 DEQUINDRE RD STE A, MADISON HEIGHTS, MI 48071-3001
(248) 414-6653
Mailing address
28037 DEQUINDRE RD STE A, MADISON HEIGHTS, MI 48071-3001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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