Basic Information
| Provider Information | |||||||||
| NPI: | 1073084661 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | APIL | ||||||||
| FirstName: | JOHANNIE | ||||||||
| MiddleName: | JOYCE | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 62728 CRIMSON DR | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480941743 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5868834043 | ||||||||
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| Practice Location | |||||||||
| Address1: | 34505 W 12 MILE RD | ||||||||
| Address2: | |||||||||
| City: | FARMINGTON HILLS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483313258 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7343437500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/08/2018 | ||||||||
| LastUpdateDate: | 12/08/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 5501007385 | MI | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.