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1477923431
MIRACLE ONE PHYSICAL THERAPY LLC
SOUTHFIELD, MI
NPI
1477923431
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Entity Type
Organization
Authorized Contact
MALIK J FUQUA
Owner
248-808-7694
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2015-10-03
Last Update Date
2015-10-03
Business Address
MIRACLE ONE PHYSICAL THERAPY LLC
24800 NORTHWESTERN HWY LEVEL 1
SOUTHFIELD, MI 48075-2319
Phone number: 248-808-7694
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Mailing Address
MIRACLE ONE PHYSICAL THERAPY LLC
24800 NORTHWESTERN HWY LEVEL 1
SOUTHFIELD, MI 48075-2319
Phone number: 248-808-7694
Copy
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