Doctor Name: | DOLORES ANNE ERVIN |
NPI Number: | 1154616712 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5501009063 |
Business Practice Address: | 43455 Schoenherr Rd Suite 6 Sterling Heights, MI - 483131951 |
Business Phone Number: | 5867264823 |
Business Fax Number: | |
Mailing Address: | 4121 Antique Ln, BLOOMFIELD HILLS |
State: | MI |
Postal Code: | 483021803 |
Phone Number: | 2487370423 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2011 |
NPI Last Update Date: | 06/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501009063 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |