Organization
DEVINNEY CZARNECKI PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN DEVINNEY P.T., O.M.P.T. (ADMINISTRATOR, OWNER, P.T.)
(248) 851-6999
Entity
Organization
Contact information
Practice address
6020 W MAPLE RD, SUITE 500, WEST BLOOMFIELD, MI 48322-4409
(248) 851-6999
(248) 851-6898
Mailing address
6020 W MAPLE RD, SUITE 500, WEST BLOOMFIELD, MI 48322-4409
(248) 851-6999
(248) 851-6898
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30619
BCBS FACILITY ID
—
Enumeration date
11/07/2006
Last updated
12/18/2012
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