Organization Name: | MOVING FORWARD PHYSICAL THERAPY |
NPI Number: | 1316322803 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN R HOUTING (PHYSICAL THERAPIST) |
Mailing Address: | 828 Pemberton Rd Grosse Pointe Park |
State: | MI US |
Postal Code: | 482301730 |
Phone Number: | 3138157599 |
Fax Number: | 3134320241 |
NPI Enumeration Date: | 07/25/2015 |
NPI Last Update Date: | 07/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 5501014039 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |