NPI 1255667556
Abyssinia Love Knot Physical Therapy LLC
Practice location
- Address
- 15340 Southfield Freeway Suite 1-A, Detroit, MI 48223
- Phone
- (313) 646-6929
- Fax
- (313) 646-6929
- Mailing address
- 21700 Greenfield Rd Suite 215, Oak Park, MI 48237-2581
Authorised official
- Name
- Shirley A. Douglas
- Title
- Administrator Appropriations Case M
- Phone
- (313) 646-6929
Registered specialties
Physical Medicine & Rehabilitation Physician
Primary
Registry record
- NPI
- 1255667556
- Entity type
- Organization
- NPI issued
- 22 Oct 2009
- Record last updated
- 9 Sep 2019
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.