Unknown Individual – Physical Therapist, NPI 1003895517
Physical Therapist
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
20122, West McNichols Road, McNichols Evergreen, Detroit, Wayne County, Michigan, 48219, United States
DETROIT, MI 482193374
Phone: (313) 341-4910
Fax: (313) 341-4916
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48219)
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Provider's Procedures
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