Organization
FAST TRACK PHYSICAL THERAPY & REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA TERESA TRONGCO BANCOLITA-COOK PT (PRESIDENT/CEO)
(586) 604-9184
Entity
Organization
Contact information
Practice address
43648 SCHOENHERR RD, STERLING HEIGHTS, MI 48313-1113
(586) 604-9184
(800) 679-9769
Mailing address
43648 SCHOENHERR RD, STERLING HEIGHTS, MI 48313-1113
(248) 420-3395
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174177190
—
MI
05
—
1235188343
—
MI
Enumeration date
07/29/2019
Last updated
03/11/2022
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