Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Beverly Bambach

Individual provider Physical Therapy Assistant · NPI 1861762189

Beverly Bambach is a Physical Therapy Assistant in Plymouth, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2012
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Practice location Address checks out

15870 N Haggerty Rd
Plymouth, MI 48170-4872
Phone: (734) 420-7917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502002795 (MI)

Record details

NPI number1861762189
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 3, 2012
Last updated in NPPESJanuary 3, 2012

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