Organization Name: | DAVENPORT & ASSOCIATES PHYSICAL THERAPY |
NPI Number: | 1629000799 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALMA MARIE DAVENPORT (PHYSICAL THERAPIST/CEO) |
Mailing Address: | 882 S. Grove Rd. Upper Suite Ypsilanti |
State: | MI US |
Postal Code: | 48198 |
Phone Number: | 7344831625 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 08/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320700000X |
License Number: | 5501009797 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Physical Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |