Clinic for Functional Physical Therapy Inc.

NPI #1134170327 in Waterford, Michigan

Provider Information

NPI Number: 1134170327
Entity Type: Organization
Organization Name: Clinic for Functional Physical Therapy Inc.
Primary Specialty: Physical Therapist
Enumeration Date: May 13, 2006
Last Updated: Oct 12, 2012

Practice Location

Address: 5225 HIGHLAND RD
City: Waterford
State: Michigan
ZIP Code: 48327-1916
Phone: (248) 673-6980

Authorized Official

Name: DEANNA THAYER
Title: MANAGER, BILLING DEPARTMENT
Phone: (248) 673-2762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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