Unknown Individual – Physical Therapist, NPI 1609009539
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Harper Avenue, Saint Clair Shores, Clinton Township, Macomb County, Michigan, 48036, United States
SUITE 104
CLINTON TOWNSHIP, MI 480354258
Phone: (586) 350-2644
Type: Mailing
Van Dyke Road, Washington Township, Macomb County, Michigan, 48095, United States
SUITE 103
WASHINGTON TWP, MI 480952570
Phone: (586) 935-1100
Fax: (586) 935-1101
Type: Location
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48035)
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