Provider Demographics
NPI:1073702908
Name:HEALTH CHOICE PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:HEALTH CHOICE PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VISWANATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VENKATASWAMY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:313-899-3703
Mailing Address - Street 1:4745 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48210-3247
Mailing Address - Country:US
Mailing Address - Phone:313-899-3703
Mailing Address - Fax:313-899-3713
Practice Address - Street 1:4745 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48210-3247
Practice Address - Country:US
Practice Address - Phone:313-899-3703
Practice Address - Fax:313-899-3713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty