Organization
THERASPORT PHYSICAL THERAPY, INC.
Active
Other names
Heartland Rehabilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
(419) 252-5541
Entity
Organization
Contact information
Practice address
6543 MIDDLEBELT RD, GARDEN CITY, MI 48135-2145
(734) 458-7878
(734) 458-7838
Mailing address
3425 EXECUTIVE PKWY, SUITE 128, TOLEDO, OH 43606-1326
(419) 252-5541
(419) 252-5548
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4838850
—
MI
Enumeration date
02/28/2007
Last updated
08/22/2020
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