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Organization
MID MICHIGAN PHYSICAL THERAPY SPECIALISTS, LLC
Active
Organization
MID MICHIGAN PHYSICAL THERAPY SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLENDA K MAINES PT, M ED, OCS (ADMINISTRATOR)
(517) 223-8308
Entity
Organization
Contact information
Practice address
125 E GRAND RIVER AVE, FOWLERVILLE, MI 48836-5137
(517) 223-8308
(517) 223-8344
Mailing address
PO BOX 323, FOWLERVILLE, MI 48836-0323
(517) 223-8308
(517) 223-8344
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
07/27/2015
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