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NPI Code Detail

MEDICARE: TOTAL HEALTH PHYSICAL THERAPY PC

MEDICARE: TOTAL HEALTH PHYSICAL THERAPY PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPK007825MI

General Provider Information

NPI Number : 1750542924
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL HEALTH PHYSICAL THERAPY PC
Provider Business Mailing Address
First Line : 28098 23 MILE RD
Second Line : STE 103
City : CHESTERFIELD
State : MI
Zip : 48051-2316
Country : US
Telephone Number : 586-949-0123
Fax Number : 586-228-9019
Provider Business Practice Location Address
First Line : 28098 23 MILE RD
Second Line : STE 103
City : CHESTERFIELD
State : MI
Zip : 48051-2316
Country : US
Telephone Number : 586-949-0123
Fax Number : 586-228-9019
Authorized Official
Title or Position : PRESIDENT
Name : MR. PIOTR KASPRZYK
Credential : PT
Telephone Number : 586-949-0123
Provider Enumeration Date : 06/20/2008
Last Update Date : 11/28/2008

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Directions to “TOTAL HEALTH PHYSICAL THERAPY PC ” Practice Location

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