Healthcare Provider Details

I. General information

NPI: 1881811230
Provider Name (Legal Business Name): UZNIS PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18101 E WARREN AVE
DETROIT MI
48224-1382
US

IV. Provider business mailing address

907 RIVARD BLVD
GROSSE POINTE MI
48230-1295
US

V. Phone/Fax

Practice location:
  • Phone: 313-881-5678
  • Fax: 313-881-9337
Mailing address:
  • Phone: 313-884-7839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number5501000764
License Number StateMI

VIII. Authorized Official

Name: MARGARET K SUWINSKI
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 313-881-5678