Organization
1ST CHOICE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER R KOVACEK PT (MEMBER)
(586) 247-1178
Entity
Organization
Contact information
Practice address
13725 19 MILE RD, STERLING HEIGHTS, MI 48313-2703
(586) 247-1178
(586) 247-3735
Mailing address
13725 19 MILE RD, STERLING HEIGHTS, MI 48313-2703
(586) 247-1178
(586) 247-3735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501001577
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA5114
MEDICARE RR
MI
Enumeration date
07/31/2006
Last updated
10/18/2011
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