Organization
PROFESSIONAL FITNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK CACKO PHYSICAL THERAPIST (DIRECTOR)
(248) 362-2150
Entity
Organization
Contact information
Practice address
1845 LIVERNOIS RD, TROY, MI 48083-1731
(248) 362-2150
Mailing address
1845 LIVERNOIS RD, TROY, MI 48083-1731
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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