MI SPORTS REHAB P.C

SOUTHFIELD, MI
NPI1366718330
Entity TypeOrganization
Authorized ContactVINOTH S PURUSOTHAMAN
President
248-208-7492
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501006291)
Additional Taxonomies225100000X Physical Therapist
(Licence: MI  5501006612)
225100000X Physical Therapist
(Licence: MI  5501006095)
225X00000X Occupational Therapist
(Licence: MI  5201000744)
235Z00000X Speech-Language Pathologist,
(Licence: MI  12080163)
Enumeration Date2012-03-23
Last Update Date2012-03-23
Business Address
MI SPORTS REHAB P.C
25865 W 12 MILE RD SUITE 104
SOUTHFIELD, MI 48034-1817
Phone number: 248-208-7492
Mailing Address
MI SPORTS REHAB P.C
25865 W 12 MILE RD SUITE 104
SOUTHFIELD, MI 48034-1817
Phone number: 248-208-7492