Provider Demographics
NPI:1821275918
Name:TWOREK, ROBERT J (PT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:J
Last Name:TWOREK
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37637 FIVE MILE RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1543
Mailing Address - Country:US
Mailing Address - Phone:313-244-8048
Mailing Address - Fax:
Practice Address - Street 1:37637 FIVE MILE RD
Practice Address - Street 2:SUITE 120
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1543
Practice Address - Country:US
Practice Address - Phone:313-244-8048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501010167225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist