| Organization Name: | LOCAL PHYSICAL THERAPY CENTER, PLLC |
| NPI Number: | 1043617467 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EWA MAGDALENA PLUSZCZYK (OWNER) |
| Mailing Address: | 7650 Dixie Hwy 130 Clarkston |
| State: | MI US |
| Postal Code: | 483462078 |
| Phone Number: | 2487702428 |
| Fax Number: | |
| NPI Enumeration Date: | 12/01/2014 |
| NPI Last Update Date: | 12/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 5501007830 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |