Fate Physical Therapy PLLC
Organization Active NPI Physical Therapy Clinic/Center · Wixom, MI
NPI 1124659263 · NPPES record last updated Mar 21, 2020
Key facts
- NPI
- 1124659263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- FATE PHYSICAL THERAPY PLLC
- Practice address
- 48845 West Rd
Wixom, MI 48393-3556 - Phone
- (248) 703-7078
- NPI assigned
- Jan 28, 2020
- Organization subpart
- No
Authorized official
- Name
- Angela Marie Klem, DPT
- Title
- Owner/Physical Therapist
- Phone
- (248) 703-7078
Practitioners 1
-
Angela Marie Klem, DPT
National Provider Directory
Locations
48845 West Rd
Wixom, MI 48393
Phone (248) 703-7078
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
48845 West Rd
Wixom, MI 48393-3556
Mailing address
57533 Apple LN
New Hudson, MI 48165-9504
Phone (248) 703-7078
Other providers in Wixom, MI
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- Jessica Marie Farr
- Angela Marie Frost Ferrell
- Kloanna Fetolli
- William Jason Finn
- Jennifer Flowers
- Falah Philip Garmo
All providers in Wixom, MI · Physical Therapy Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.