Organization Name: | HIGHLAND PHYSICAL THERAPY, LLC |
NPI Number: | 1023220878 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AARON ARNOLD MUNDERLOH (MEMBER) |
Mailing Address: | 3000 W Monroe Rd Suite B Alma |
State: | MI US |
Postal Code: | 488019719 |
Phone Number: | 9894630345 |
Fax Number: | 9894665472 |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 01/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |