Provider Demographics
NPI:1568079697
Name:ONE STEP AT A TIME PHYSICAL THERAPY, L.L.C.
Entity Type:Organization
Organization Name:ONE STEP AT A TIME PHYSICAL THERAPY, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNNY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-499-8494
Mailing Address - Street 1:5830 CONNER ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48213-3458
Mailing Address - Country:US
Mailing Address - Phone:313-499-8494
Mailing Address - Fax:313-636-2290
Practice Address - Street 1:5830 CONNER ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48213-3458
Practice Address - Country:US
Practice Address - Phone:313-499-8494
Practice Address - Fax:313-636-2290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy