Organization Name: | HAMTRAMCK ORTHOPEDIC PHYSICAL THERAPY, INC. |
NPI Number: | 1124027966 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRANDEN MCDOWELL (CEO / ADMINISTRATOR) |
Mailing Address: | 9100 Lapeer Rd Davison |
State: | MI US |
Postal Code: | 484231746 |
Phone Number: | 8106530100 |
Fax Number: | 8106530133 |
NPI Enumeration Date: | 07/14/2005 |
NPI Last Update Date: | 08/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |