Provider First Line Business Practice Location Address:
33010 NORTHWESTERN HIGHWAY
Provider Second Line Business Practice Location Address:
PREMIER THERAPY CENTERS, INC.
Provider Business Practice Location Address City Name:
WEST BLOOMFIELD
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48322
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-538-5165
Provider Business Practice Location Address Fax Number:
248-538-5164
Provider Enumeration Date:
09/25/2006