| Traumatic Brain And Catastrophic Injury Pc | |
|
1059 Owendale Troy MI 48083 | |
| (248) 526-0110 | |
| (248) 680-9138 |
| Full Name | Traumatic Brain And Catastrophic Injury Pc |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 1059 Owendale, Troy, Michigan |
| Authorized Official Name and Position | Thomas J Park (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2485260110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Traumatic Brain And Catastrophic Injury Pc 1059 Owendale Troy MI 48083 Ph: (248) 526-0110 | Traumatic Brain And Catastrophic Injury Pc 1059 Owendale Troy MI 48083 Ph: (248) 526-0110 |
| NPI Number | 1285705095 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285705095 | NPI | - | NPPES |
| 30421 | Other | MI | BLUE CROSS |
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