Doctor Name: | DR. THOMAS VINCENT DUBAY |
NPI Number: | 1225452170 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 5501016649 |
Business Practice Address: | 4351 24th Ave Ste 1 Fort Gratiot, MI - 480594506 |
Business Phone Number: | 8103857405 |
Business Fax Number: | 8103857420 |
Mailing Address: | 4351 24th Ave Ste 1, FORT GRATIOT |
State: | MI |
Postal Code: | 480594506 |
Phone Number: | 8103857405 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2014 |
NPI Last Update Date: | 02/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 5501016649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |