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Beverly Bambach

NPI 1861762189 · on the registry since 2012 · sole proprietor

Practice

Address: 15870 N Haggerty Rd
Plymouth, MI 48170
Phone: (734) 420-7917
Organisation at this address: Sunshine Therapy Provider, Pllc
Solomon Holdings I - The Triangle, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Physical Therapy Assistant
225200000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-01-03

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