Basic Information
| Provider Information | |||||||||
| NPI: | 1609254804 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HELPING HANDS PT, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10691 MARCELLA AVE | ||||||||
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| City: | SOUTH LYON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481780020 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4109497865 | ||||||||
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| Practice Location | |||||||||
| Address1: | 25882 ORCHARD LAKE RD | ||||||||
| Address2: | SUITE 207B | ||||||||
| City: | FARMINGTON HILLS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483361292 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2488936192 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/08/2015 | ||||||||
| LastUpdateDate: | 05/08/2015 | ||||||||
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| AuthorizedOfficialLastName: | PESCI | ||||||||
| AuthorizedOfficialFirstName: | TERESA | ||||||||
| AuthorizedOfficialMiddleName: | JUODAWLKIS | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICAL THERAPIST | ||||||||
| AuthorizedOfficialTelephone: | 4109497865 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 5501009694 | MI | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.