Organization Name: | INNOVATIVE PHYSICAL THERAPY INC |
NPI Number: | 1760861926 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VOITEK MALINOWSKI (PRESIDENT) |
Mailing Address: | 21618 E 9 Mile Rd Ste 2 Saint Clair Shores |
State: | MI US |
Postal Code: | 480801864 |
Phone Number: | 2485157564 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2015 |
NPI Last Update Date: | 05/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501006064 |
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 |