Provider Demographics
NPI:1568697969
Name:THERPISTS ON THE MOVE PC
Entity Type:Organization
Organization Name:THERPISTS ON THE MOVE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:BLATT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:810-923-8970
Mailing Address - Street 1:2404 WHITE BIRCH TRL
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-9502
Mailing Address - Country:US
Mailing Address - Phone:810-923-8970
Mailing Address - Fax:
Practice Address - Street 1:2404 WHITE BIRCH TRL
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-9502
Practice Address - Country:US
Practice Address - Phone:810-923-8970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy