Search › Michigan › 235Z00000X
Thomas Southern, SLPD
NPI 1558981076 · on the registry since 2020 · sole proprietor
Practice
- Address
- 53359 Champlain St
Macomb, MI 48042 - Phone
- (586) 859-9607
- Organisation at this address
- Purple Arch Neuro Rehabilitation, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan