| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MAIA JANINE RECINTO BURGOS | 1881360527 | 2021-10-10 |
Maia Janine Recinto Burgos is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881360527. Registration indicates Maia Janine Recinto Burgos is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Maia Janine Recinto Burgos PT |
| Practice Office Address | 44201 DEQUINDRE RD STE 203A TROY, MI US |
| Practice Office Telephone | 2489644014 |
| Mailing Address | 44201 DEQUINDRE RD STE 203A TROY, MI 480851117 US |
| Business Telephone | 2489644014 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2701 Chestnut Station Ct | Louisville, KY 402996395 | 8003351060 |
| Code | Practice | License No State |
|---|---|---|
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 5501020044
MI |