# MICHIGAN THERAPY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720465339
- **Authorized official:** BOB BRESFORD (MANAGER)
- **Authorized official phone:** (517) 332-4263

## Contact information

- **Practice address:** 2111 MERRITT RD, SUITE 101, EAST LANSING, MI 48823-6916
- **Practice address phone:** (517) 332-4263
- **Mailing address:** 2111 MERRITT RD STE 101, EAST LANSING, MI 48823-6916
- **Mailing address phone:** (517) 332-4263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | 5201009030 | MI | Yes |

## Other

- **Enumeration date:** 05/04/2015
- **Last updated:** 05/04/2015
