Provider Demographics
NPI:1336664887
Name:DPT PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:DPT PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:OROW
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:248-850-7008
Mailing Address - Street 1:27803 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-0907
Mailing Address - Country:US
Mailing Address - Phone:248-850-7008
Mailing Address - Fax:248-657-7008
Practice Address - Street 1:27803 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:BERKLEY
Practice Address - State:MI
Practice Address - Zip Code:48072-0907
Practice Address - Country:US
Practice Address - Phone:586-808-1106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty