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Organization

MID-MICHIGAN PHYSICAL THERAPY AND REHAB SPECIALISTS, LLC

Active
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Organization

MID-MICHIGAN PHYSICAL THERAPY AND REHAB SPECIALISTS, LLC

Active
Other names
Physical Therapy & Rehab Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AJAY MIDDHA PT, DPT (OWNER)
(989) 631-3570
Entity
Organization

Contact information

Practice address
555 W WACKERLY ST STE 3600, MIDLAND, MI 48640-4714
(989) 631-3570
(989) 631-3275
Mailing address
555 W WACKERLY ST STE 3600, MIDLAND, MI 48640-4714
(989) 631-3570
(989) 631-3275

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006768
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB1417
RETIRED RAILROAD MEDICARE
MI
Enumeration date
06/28/2006
Last updated
05/04/2021
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