Provider Demographics
NPI:1073842167
Name:HEALING TOUCH PHYSICAL & OCCUPATIONAL THERAPY INC.
Entity Type:Organization
Organization Name:HEALING TOUCH PHYSICAL & OCCUPATIONAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:BARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:810-360-5890
Mailing Address - Street 1:455 E GRAND RIVER AVE
Mailing Address - Street 2:SUITE 104A
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-1551
Mailing Address - Country:US
Mailing Address - Phone:810-360-5890
Mailing Address - Fax:
Practice Address - Street 1:455 E GRAND RIVER AVE
Practice Address - Street 2:SUITE 104A
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-1551
Practice Address - Country:US
Practice Address - Phone:810-360-5890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-18
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501006022261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy