Organization Name: | GREATER FLINT SPORTS MEDICINE CENTER PC |
NPI Number: | 1265459150 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRUCE LAWRENCE (PRESIDENT) |
Mailing Address: | 861 Health Park Blvd Grand Blanc |
State: | MI US |
Postal Code: | 484397383 |
Phone Number: | 8109530500 |
Fax Number: | 8109530031 |
NPI Enumeration Date: | 07/16/2006 |
NPI Last Update Date: | 04/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |