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Dr. Michael Thomas Prudhomme, DPT
Orthopedic Physical Therapist in Riverview, Michigan
NPI 1548564255

Michael Thomas Prudhomme is a Orthopedic Physical Therapist based in Riverview, MI and is specialized in Orthopedic. Michael Thomas Prudhomme practices in Riverview, MI and has the professional credentials of DPT. The NPI Number for Michael Thomas Prudhomme is 1548564255 and holds a License No. 5501010391 (Michigan).

The current practice location address for Michael Thomas Prudhomme is 13638 Sibley Rd, Riverview, MI and can be reached out via phone at 734-288-3739 and via fax at 734-288-3745.

Location: 13638 Sibley Rd, Riverview, MI, 48193-7406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548564255
Provider Name
Michael Thomas Prudhomme
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
13638 Sibley Rd, Riverview, MI, 48193-7406
Phone Number
734-288-3739
Fax Number
734-288-3745
Provider Enumeration Date
01/10/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OH28738 01 MI BCBSM PIN
institution
Provider Business Practice Location Address Details
Address
13638 Sibley Rd
City
Riverview
State
Michigan
Zip
48193-7406
Phone Number
734-288-3739
Fax Number
734-288-3745
person
Provider Business Mailing Address Details
Address
13638 Sibley Rd
City
Riverview
State
Michigan
Zip
48193-7406
Phone Number
734-288-3739
Fax Number
734-288-3745
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
5501010391 (Michigan)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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