Orthopedic Edge LLC
NPI #1164682399 in Shelby Twp, Michigan
Provider Information
- NPI Number
- 1164682399
- Entity Type
- Organization
- Organization Name
- Orthopedic Edge LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jun 11, 2008
- Last Updated
- Jun 11, 2008
Practice Location
- Address
- 51064 FILOMENA DR
- City
- Shelby Twp
- State
- Michigan
- ZIP Code
- 48315-2937
- Phone
- (586) 566-5116
Authorized Official
- Name
- MR. ERICK B FOUNTAIN, PT
- Title
- MEMBER
- Phone
- (248) 761-3530
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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