Organization
ABYSSINIA LOVE KNOT POST TRAUMA CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA TURNER (MANAGER)
(248) 262-7914
Entity
Organization
Contact information
Practice address
18591 W 10 MILE RD STE 4, SOUTHFIELD, MI 48075-2619
(248) 262-7914
Mailing address
18591 W 10 MILE RD STE 4, SOUTHFIELD, MI 48075-2619
(248) 262-7914
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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