Provider Demographics
NPI:1285357384
Name:FREEDOM PHYSICAL THERAPY AND WELLNESS PLLC
Entity type:Organization
Organization Name:FREEDOM PHYSICAL THERAPY AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CYRSTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAPINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-430-1154
Mailing Address - Street 1:67232 GRATIOT AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:MI
Mailing Address - Zip Code:48062-1915
Mailing Address - Country:US
Mailing Address - Phone:586-430-1154
Mailing Address - Fax:586-430-1174
Practice Address - Street 1:67232 GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:MI
Practice Address - Zip Code:48062-1915
Practice Address - Country:US
Practice Address - Phone:586-260-0515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty