NPI 1003240268

Michigan Health Source Facilities LLC

Organisation Physical Therapy Clinic/Center Madison Heights, MI

Practice location

Address: 28075 John R Rd, Madison Heights, MI 48071-2809
Phone: (248) 548-3445
Mailing address: PO Box 71162, Rochester Hills, MI 48307-0022

Authorised official

Name: Tanya Little
Title: Administrator
Phone: (248) 894-8248

Registered specialties

Physical Therapy Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2000X

Other Clinic/Center providers in Michigan →

Registry record

NPI: 1003240268
Entity type: Organization
NPI issued: 23 Aug 2013
Record last updated: 23 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.