Edewor Splendid Nana in Southfield - Physical Therapist
Edewor Splendid Nana - NPI 1639249931
Edewor Splendid Nana is a Physical Therapist in Southfield, Michigan. Edewor Splendid Nana practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Edewor Splendid Nana is 1639249931. The last update date is 2022-07-27.
Edewor Splendid Nana's current location address is 17500 Northland Park Ct Ste 1, Southfield, Michigan. You can contact this provider via phone number 3133887110 and fax number 3133887424. The mailing address for Edewor Splendid Nana is 17500 Northland Park Ct Ste 1, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edewor Splendid Nana |
|---|---|
| Address | 17500 Northland Park Ct Ste 1, Southfield, Michigan |
| Phone Number | 3133887110 |
| Fax Number | 3133887424 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1639249931 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2022-07-27 |
Provider Mailing Address Detail
| Address | 17500 Northland Park Ct Ste 1 |
|---|---|
| City | Southfield |
| State | Michigan (MI) |
| Post Code | 480754324 |
| Phone Number | 3133887110 |
| Fax Number | 3133887424 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5501006444 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 383588707 | PPONN | ||
| 4297616 | MI | -- | |
| P112871 | BCBS |
Post Comment/ Review Below
What is the Edewor Splendid Nana's unique identification number?
The Edewor Splendid Nana has been assigned the NPI (National Provider Identifier) Number 1639249931 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Edewor Splendid Nana is geographically located?
The Edewor Splendid Nana is physically situated at the following location: 17500 Northland Park Ct Ste 1, Southfield, MI, 480754324.
What is Edewor Splendid Nana's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Edewor Splendid Nana is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
On what date did the Edewor Splendid Nana receive the assignment of its 1639249931 from the Centers for Medicare & Medicaid Services?
The Edewor Splendid Nana was issued its 1639249931 by the Centers for Medicare & Medicaid Services on 2006-11-08.
As of what date were the details related to Edewor Splendid Nana most recently updated or revised?
The information pertaining to Edewor Splendid Nana, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-27.