Organization Name: | LAKESHORE REHABILITATION CENTER PC |
NPI Number: | 1376604389 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIMMIE J ANTHONY (OWNER PHYSICAL THERAPIST) |
Mailing Address: | 137 E Laketon Ave Muskegon |
State: | MI US |
Postal Code: | 494425507 |
Phone Number: | 2317284102 |
Fax Number: | 2317220800 |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501007594 |
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 |