Organization
HERITAGE PHYSICAL THERAPY, PLLC
Active
Organization
HERITAGE PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONI LODZINSKI PHD, P.T., A.T.C. (ADMINISTRATOR)
(248) 366-0403
Entity
Organization
Contact information
Practice address
2891 E MAPLE RD, STE 103, TROY, MI 48083-6106
(248) 720-0701
Mailing address
2891 E MAPLE RD, STE 103, TROY, MI 48083-6106
(248) 720-0701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/22/2006
Last updated
10/15/2008
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