Provider Demographics
NPI:1912283565
Name:DILLIWAL, SILVA (PT, MPT)
Entity Type:Individual
Prefix:
First Name:SILVA
Middle Name:
Last Name:DILLIWAL
Suffix:
Gender:F
Credentials:PT, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21400 DRAKE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:FARMINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48335
Mailing Address - Country:US
Mailing Address - Phone:248-442-5011
Mailing Address - Fax:248-442-5012
Practice Address - Street 1:24100 DRAKE RD SUITE B
Practice Address - Street 2:THERAPY UNLIMITED
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48335
Practice Address - Country:US
Practice Address - Phone:248-442-5011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISD014755225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist