Purple Arch Neuro Rehabilitation, LLC

NPI #1306460308 in Macomb, Michigan

Provider Information

NPI Number
1306460308
Entity Type
Organization
Organization Name
Purple Arch Neuro Rehabilitation, LLC
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jun 4, 2020
Last Updated
Jun 4, 2020

Practice Location

Address
53359 CHAMPLAIN ST
City
Macomb
ZIP Code
48042-3739
Phone
(586) 859-9607

Authorized Official

Name
DR. THOMAS LAURIE SOUTHERN JR., SLPD
Title
OWNER, SPEECH-LANGUAGE PATHOLOGIST
Phone
(586) 859-9607

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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