Form Physical Therapy, Llc

LBN: Form Physical Therapy, Llc
Form Physical Therapy, Llc is an health care organization with primary practice located at 22340 Harper Ave , Saint Clair Shores MI 48080-1818. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Form Physical Therapy, Llc can be contacted via phone (586) 330-0499, or through Delind, Kelly Ann-Trimmer via phone (248) 860-1329.

Contact Information

Primary practice address
22340 Harper Ave Saint Clair Shores MI 48080-1818
Phone: (586) 330-0499
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Delind, Kelly Ann-Trimmer DPT
Phone: (248) 860-1329

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1750844619
LBN Legal business name Form Physical Therapy, Llc
DBA Doing business as
Authorized official Delind, Kelly Ann-Trimmer DPT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2019
Last updated Apr 8th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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