Basic Information
| Provider Information | |||||||||
| NPI: | 1013985753 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BADALAMENTI | ||||||||
| FirstName: | SABRINA | ||||||||
| MiddleName: | LUCIA | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 33900 HARPER AVE | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | CLINTON TOWNSHIP | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480354258 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5864169100 | ||||||||
| FaxNumber: | 5864169103 | ||||||||
| Practice Location | |||||||||
| Address1: | 64541 VAN DYKE RD | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | WASHINGTON TOWNSHIP | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480952570 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5869351100 | ||||||||
| FaxNumber: | 5869351101 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/09/2006 | ||||||||
| LastUpdateDate: | 11/28/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 5501010551 | MI | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.