Doctor Name: | WILLIAM R POURCHO |
NPI Number: | 1417058231 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 5501010094 |
Business Practice Address: | 621 Court St Ste 101 West Branch, MI - 486619390 |
Business Phone Number: | 9893433000 |
Business Fax Number: | 9893433003 |
Mailing Address: | 621 Court St, Ste 101 WEST BRANCH |
State: | MI |
Postal Code: | 486619390 |
Phone Number: | 9893433000 |
Fax Number: | 9893433003 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 11/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501010094 |
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 |