Organization Name: | ORTHOPEDIC SPINE AND SPORTS THERAPY INC |
NPI Number: | 1154519064 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY J BUCHANAN (OFFICE MANAGER) |
Mailing Address: | 54945 Mound Rd Shelby Township |
State: | MI US |
Postal Code: | 483166028 |
Phone Number: | 5869921500 |
Fax Number: | 5869928050 |
NPI Enumeration Date: | 10/05/2007 |
NPI Last Update Date: | 04/28/2015 |
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: |