Organization
GREAT LAKES ORTHOPEDIC PHYSICAL THERAPY, INC.
Active
Other names
Global Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIOTR KLUBA P.T. (PRESIDENT)
(586) 977-5700
Entity
Organization
Contact information
Practice address
38300 VAN DYKE AVE, SUITE 101, STERLING HEIGHTS, MI 48312-1123
(586) 977-5700
(586) 977-5704
Mailing address
38300 VAN DYKE AVE, SUITE 101, STERLING HEIGHTS, MI 48312-1123
(586) 977-5700
(586) 977-5704
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
225100000X
Physical Therapist
—
—
2251E1200X
Ergonomics Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4687504
—
MI
Enumeration date
01/23/2006
Last updated
02/15/2013
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