Provider Demographics
NPI:1063955391
Name:STERLING PHYSICAL THERAPY PROVIDER
Entity type:Organization
Organization Name:STERLING PHYSICAL THERAPY PROVIDER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:PAYAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BHAGAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-462-2004
Mailing Address - Street 1:33424 DEQUINDRE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-5878
Mailing Address - Country:US
Mailing Address - Phone:888-462-2004
Mailing Address - Fax:800-886-5344
Practice Address - Street 1:33424 DEQUINDRE RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-5878
Practice Address - Country:US
Practice Address - Phone:888-462-2004
Practice Address - Fax:800-886-5344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-17
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy