Provider Demographics
NPI:1144672502
Name:TOTAL COMFORT PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:TOTAL COMFORT PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-444-4040
Mailing Address - Street 1:33144 RYAN RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-6462
Mailing Address - Country:US
Mailing Address - Phone:586-883-6330
Mailing Address - Fax:586-722-7988
Practice Address - Street 1:548 E 11 MILE RD
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3702
Practice Address - Country:US
Practice Address - Phone:810-444-4040
Practice Address - Fax:248-548-9992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty