Organization Name: | THE PHYSICAL THERAPY CONNECTION, INC. |
NPI Number: | 1164693982 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH ANN LANDGRAF (PRESIDENT/OWNER) |
Mailing Address: | 1161 E Clark Rd Suite 156 Dewitt |
State: | MI US |
Postal Code: | 488207930 |
Phone Number: | 5176680000 |
Fax Number: | 5176680017 |
NPI Enumeration Date: | 03/19/2008 |
NPI Last Update Date: | 03/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 929013 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |