Organization
1ST CHOICE PHYSICAL THERAPY CLARKSTON NOVI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER R KOVACEK PT (MEMBER)
(313) 492-4293
Entity
Organization
Contact information
Practice address
5330 DIXIE HWY, WATERFORD, MI 48329-1692
(248) 623-0497
Mailing address
5330 DIXIE HWY, WATERFORD, MI 48329-1692
(248) 623-0497
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004083
MI
Other
Enumeration date
11/16/2006
Last updated
06/13/2008
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