| Organization Name: | RONALD L. VANCE VANCES REHABILITATION CENTER |
| NPI Number: | 1346240454 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BONNIE J VANCE (FINANCIAL OFFICER) |
| Mailing Address: | 609 N Court Ave Gaylord |
| State: | MI US |
| Postal Code: | 497351515 |
| Phone Number: | 9897324753 |
| Fax Number: | 9897313553 |
| NPI Enumeration Date: | 07/29/2005 |
| NPI Last Update Date: | 09/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501000840 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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 |