Doctor Name: | BRIAN CHARLES NALAZEK |
NPI Number: | 1417929043 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, OMPT, CWT |
License Number: | 5501004297 |
Business Practice Address: | 18791 15 Mile Rd Clinton Township, MI - 480352503 |
Business Phone Number: | 5867902326 |
Business Fax Number: | 5867902476 |
Mailing Address: | 18791 15 Mile Rd, CLINTON TOWNSHIP |
State: | MI |
Postal Code: | 480352503 |
Phone Number: | 5867902326 |
Fax Number: | 5867902476 |
NPI Enumeration Date: | 02/07/2006 |
NPI Last Update Date: | 09/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501004297 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |