| Private Health Physical Therapy & Wellness, Plc | |
|
28345 Beck Rd Ste 412, Wixom, MI 48393-4745 | |
| (248) 308-0400 | |
| Not Available |
| Full Name | Private Health Physical Therapy & Wellness, Plc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 28345 Beck Rd Ste 412, Wixom, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316536113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Christa Milena Carlomusto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104941152 PECOS PAC ID: 8527161173 Enrollment ID: I20130329000078 |
| Mailing Address | Practice Location Address |
|---|---|
| Private Health Physical Therapy & Wellness, Plc 25450 Villagewood Ct, South Lyon, MI 48178-8041 Ph: (248) 308-0400 | Private Health Physical Therapy & Wellness, Plc 28345 Beck Rd Ste 412, Wixom, MI 48393-4745 Ph: (248) 308-0400 |
Robert Lee Gustitus, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50200 Dennis Ct, Wixom, MI 48393 Phone: 248-229-5000 | |
Lynsey Raschke, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 29822 S Wixom Rd, Wixom, MI 48393 Phone: 248-926-5826 Fax: 248-926-5830 | |
Bradley William Page, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 29822 S Wixom Rd, Wixom, MI 48393 Phone: 248-926-5826 Fax: 248-926-5830 | |
Shawn William Grant, MS PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 29822 Wixom Rd., Wixom, MI 48393 Phone: 248-926-5826 | |
Ms. Carol Lynn Croll, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1129 Calpernia, Wixom, MI 48393 Phone: 248-761-7380 | |
Miss Amy Vanderbeek Drean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29822 S Wixom Rd, Wixom, MI 48393 Phone: 248-926-5826 Fax: 248-926-5830 |