Organization
PRESCOTT PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON ISAAC (OFFICE MANAGER)
(989) 873-2540
Entity
Organization
Contact information
Practice address
311 E HARRISON ST, PRESCOTT, MI 48756-5135
(989) 873-2540
(989) 873-2542
Mailing address
PO BOX 215, PRESCOTT, MI 48756-0215
(989) 873-2540
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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