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Organization
WEST MICHIGAN PHYSICAL THERAPY PLLC
Active
Organization
WEST MICHIGAN PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLINE THERESE O'BRIEN DPT (MEMBER)
(231) 843-2676
Entity
Organization
Contact information
Practice address
901 E TINKHAM AVE, LUDINGTON, MI 49431-1536
(231) 843-2676
(231) 843-2209
Mailing address
901 E TINKHAM AVE, LUDINGTON, MI 49431-1536
(231) 843-2676
(231) 843-2209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
935864
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7745071
AETNA
MI
01
—
OE31017
BCBS
MI
01
—
P00250694
RAILROAD MEDICARE
MI
Enumeration date
09/25/2006
Last updated
07/10/2019
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