Great Lakes Pt LLC
NPI #1609538974 in Harper Woods, Michigan
Provider Information
- NPI Number
- 1609538974
- Entity Type
- Organization
- Organization Name
- Great Lakes Pt LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Oct 13, 2021
- Last Updated
- Oct 13, 2021
Practice Location
- Address
- 19925 VERNIER RD STE 300
- City
- Harper Woods
- State
- Michigan
- ZIP Code
- 48225-1486
- Phone
- (248) 499-4243
Authorized Official
- Name
- RAVI SHARMA, PT
- Title
- OWNER
- Phone
- (248) 499-4243
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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