Functional Physical Therapy Of Clarkston in Waterford - Physical Therapist
Functional Physical Therapy Of Clarkston - NPI 1417079187
Functional Physical Therapy Of Clarkston is a Physical Therapist in Waterford, Michigan. Functional Physical Therapy Of Clarkston practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Functional Physical Therapy Of Clarkston is 1417079187. The last update date is 2020-08-22.
Functional Physical Therapy Of Clarkston's current location address is 4206 Pontiac Lake Rd, Waterford, Michigan. You can contact this provider via phone number 2486736980 and fax number 2486737497. The mailing address for Functional Physical Therapy Of Clarkston is 4206 Pontiac Lake Rd, Waterford, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Functional Physical Therapy Of Clarkston |
|---|---|
| Address | 4206 Pontiac Lake Rd, Waterford, Michigan |
| Phone Number | 2486736980 |
| Fax Number | 2486737497 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Oosthek Kornelis |
| Credentials | PT |
| Telephone Number | 2486201415 |
NPI Number Detail
| NPI Number | 1417079187 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4206 Pontiac Lake Rd |
|---|---|
| City | Waterford |
| State | Michigan (MI) |
| Post Code | 483281261 |
| Phone Number | 2486736980 |
| Fax Number | 2486737497 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique identification code assigned to Functional Physical Therapy Of Clarkston by the Centers for Medicare & Medicaid Services?
The Functional Physical Therapy Of Clarkston has been issued the NPI (National Provider Identifier) 1417079187. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Functional Physical Therapy Of Clarkston is physically located?
The Functional Physical Therapy Of Clarkston is physically situated at the following address: 4206 Pontiac Lake Rd, Waterford, MI, 483281261.
What is Functional Physical Therapy Of Clarkston's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Functional Physical Therapy Of Clarkston's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.
When did the Functional Physical Therapy Of Clarkston receive its 1417079187?
The Functional Physical Therapy Of Clarkston was issued its 1417079187 on 2007-04-04, which is the date when the organization was assigned this unique identifier.
When was the Functional Physical Therapy Of Clarkston's information last updated?
The Functional Physical Therapy Of Clarkston's information was last updated on 2020-08-22.