| Organization Name: | PHYSIOTHERAPY ASSOCIATES INC |
| NPI Number: | 1992816607 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CINDY L GOLD BERG (CHIEF COMPLIANCE OFFICER) |
| Mailing Address: | 977 W. 72nd Street Newaygo |
| State: | MI US |
| Postal Code: | 493378004 |
| Phone Number: | 2316528140 |
| Fax Number: | 2316528141 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 03/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | ME-0221461 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |