| Organization Name: | DWIGHT ORTHO - WEST BLOOMFIELD INC |
| NPI Number: | 1962402891 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GWYN SWARTZ (CORPORATE ADMINISTRATOR) |
| Mailing Address: | 7115 Orchard Lake Rd Suite 100 West Bloomfield |
| State: | MI US |
| Postal Code: | 483223678 |
| Phone Number: | 2488559009 |
| Fax Number: | 2488558460 |
| NPI Enumeration Date: | 07/21/2005 |
| NPI Last Update Date: | 04/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501002195 |
| 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 |