DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENCE PHYSICAL THERAPY

Active Organization

PROVIDENCE PHYSICAL THERAPY is a Physical Therapy Assistant organization located in SOUTHFIELD, Michigan. NPI 1124416912 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SOUTHFIELD, MI

Registration Details

NPI Number
1124416912
Provider Type
Organization
NPI Issued
Dec 31, 2014 (11.645224864789 yrs)
Last Updated
Dec 31, 2014
License
HR014291 (MI)

Practice Information

Address
20180 W 12 MILE RD
SUITE 100
SOUTHFIELD, MI, 480765412
Browse MI providers · Browse ZIP 48076
Phone
2482239230
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Organizations in SOUTHFIELD, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.