Provider Demographics
NPI:1811280738
Name:EURO REHAB HERITAGE PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:EURO REHAB HERITAGE PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONI
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:LODZINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:248-227-7343
Mailing Address - Street 1:35200 DEQUINDRE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-4837
Mailing Address - Country:US
Mailing Address - Phone:248-227-7343
Mailing Address - Fax:248-720-0703
Practice Address - Street 1:35200 DEQUINDRE RD STE 300
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-4837
Practice Address - Country:US
Practice Address - Phone:248-227-7343
Practice Address - Fax:248-720-0703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-25
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501004579261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy