Jose Andoy Dela Paz

Individual provider Active NPI Physical Therapy Assistant · Beverly Hills, MI

NPI 1972153237 · NPPES record last updated Sep 18, 2019

Key facts

NPI
1972153237
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
18200 W 13 Mile Rd
Beverly Hills, MI 48025-5446
Phone
(248) 647-6500
NPI assigned
Sep 18, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Yes

Addresses

Primary practice location

18200 W 13 Mile Rd
Beverly Hills, MI 48025-5446

Mailing address

3605 Eagle Creek Dr
Shelby Township, MI 48317-4740

Electronic endpoints

TypeEndpointUseAffiliation
Other URL sava.com

Other providers in Beverly Hills, MI

All providers in Beverly Hills, MI · Physical Therapy Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.