Great Lakes Pediatric Therapy
Physical Therapist, Pediatrics in Frankenmuth, MI. Organization (NPI-2).
NPI number1497526271
StatusActive
Last updated in NPPESJan 11, 2024
Details
- NPI
- 1497526271
- Entity type
- Organization (NPI-2)
- Legal business name
- Great Lakes Pediatric Therapy
- Organization subpart
- No
- Enumeration date
- Jan 11, 2024
- Certification date
- Jan 11, 2024
- Last updated
- Jan 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | – | – | Yes |
Practice location
356 Frank RdFrankenmuth, MI 48734-1258
Phone 989-372-6404
Mailing address
356 Frank RdFrankenmuth, MI 48734-1258
Authorized official
Jessica Barry
Owner, Pediatric Physical Therapist
9893726404
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