Great Lakes Orthopedic Physical Therapy, Inc. in Sterling Heights - Sports
Great Lakes Orthopedic Physical Therapy, Inc. - NPI 1982674040
Great Lakes Orthopedic Physical Therapy, Inc. is a Sports in Sterling Heights, Michigan. Great Lakes Orthopedic Physical Therapy, Inc. practices all healthcare services and medical treatments related to Sports. The NPI Number for Great Lakes Orthopedic Physical Therapy, Inc. is 1982674040. The last update date is 2013-02-15.
Great Lakes Orthopedic Physical Therapy, Inc.'s current location address is 38300 Van Dyke Ave, Sterling Heights, Michigan. You can contact this provider via phone number 5869775700 and fax number 5869775704. The mailing address for Great Lakes Orthopedic Physical Therapy, Inc. is 38300 Van Dyke Ave, Sterling Heights, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Great Lakes Orthopedic Physical Therapy, Inc. |
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Address | 38300 Van Dyke Ave, Sterling Heights, Michigan |
Phone Number | 5869775700 |
Fax Number | 5869775704 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Kluba Piotr |
Credentials | P.T. |
Telephone Number | 5869775700 |
NPI Number Detail
NPI Number | 1982674040 |
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Provider Enumeration Date | 2006-01-23 |
Last Updated Date | 2013-02-15 |
Provider Mailing Address Detail
Address | 38300 Van Dyke Ave |
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City | Sterling Heights |
State | Michigan (MI) |
Post Code | 483121123 |
Phone Number | 5869775700 |
Fax Number | 5869775704 |
Provider's Primary Taxonomy Detail
Speciality | Sports |
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Taxonomy | 2251S0007X |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4687504 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Great Lakes Orthopedic Physical Therapy, Inc. by the Centers for Medicare & Medicaid Services?
The Great Lakes Orthopedic Physical Therapy, Inc. has been assigned the NPI (National Provider Identifier) 1982674040. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Great Lakes Orthopedic Physical Therapy, Inc. is physically located?
The Great Lakes Orthopedic Physical Therapy, Inc. is physically situated at the following address: 38300 Van Dyke Ave, Sterling Heights, MI, 483121123.
What is Great Lakes Orthopedic Physical Therapy, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Great Lakes Orthopedic Physical Therapy, Inc. is Sports, and the taxonomy code that classifies this field of practice is 2251S0007X.
On what date did Great Lakes Orthopedic Physical Therapy, Inc. receive its 1982674040 assignment from the Centers for Medicare & Medicaid Services?
The Great Lakes Orthopedic Physical Therapy, Inc. was assigned its 1982674040 on 2006-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Great Lakes Orthopedic Physical Therapy, Inc. most recently updated or revised?
The details related to Great Lakes Orthopedic Physical Therapy, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2013-02-15.
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