Organization Name: | PHYSIOTHERAPY ASSOCIATES |
NPI Number: | 1598153611 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELINDA LEIGH DARCANGELO (PHYSICAL THERAPIST) |
Mailing Address: | 914 Charlevoix Dr Ste 150 Grand Ledge |
State: | MI US |
Postal Code: | 488372294 |
Phone Number: | 5176279292 |
Fax Number: | |
NPI Enumeration Date: | 12/23/2014 |
NPI Last Update Date: | 12/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 5501017029 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |