Organization Name: | PHYSIOTHERAPY ASSOCIATES INC |
NPI Number: | 1730286931 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL E. TARVIN (VICE PRESIDENT AND SECRETARY) |
Mailing Address: | 1016 N Saginaw St Ste B Holly |
State: | MI US |
Postal Code: | 484421379 |
Phone Number: | 2486344424 |
Fax Number: | 2486345995 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 05/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |