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Organization
ORTHOPEDIC REHABILITATION
Active
Organization
ORTHOPEDIC REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE LYNN HERTEL PT (PHYSICAL THERAPIST/MEMBER)
(231) 799-8883
Entity
Organization
Contact information
Practice address
6022 HARVEY ST, SUITE H, MUSKEGON, MI 49444-8802
(231) 799-8883
(231) 799-8884
Mailing address
6022 HARVEY ST, SUITE H, MUSKEGON, MI 49444-8802
(231) 799-8883
(231) 799-8884
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004375
MI
225X00000X
Occupational Therapist
5201001131
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138689
PREFERRED CHOICES
MI
01
—
650F110770
BCBSM
MI
01
—
7148506
AETNA
MI
Enumeration date
01/28/2008
Last updated
02/01/2011
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