OrganizationMillenium Physical Therapy, PcPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1641 Lasalle Rd, Canton, MI 48187-5823(734) 925-6161PECOS EnrollmentBased on the most recent information from CMS, provider Millenium Physical Therapy, Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1780760652Provider TypeOrganizationFull NameMillenium Physical Therapy, PcSubpartNoEnumeration Date10/31/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address1641 Lasalle Rd, Canton, MI 48187-5823Phone(734) 925-6161Fax(734) 844-1084Mailing LocationMailing Address1641 Lasalle Rd, Canton, MI 48187Phone(734) 925-6161Fax(734) 844-1084Authorized OfficialNameSaha, Swarup (President)Phone(734) 925-6161Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5501008570Michigan