Organization
PHYSICAL THERAPY CENTER OF MIDLAND, LLC
Active
Other names
Phyiscal Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LAURA ANNE-HALL MCGUIRE P.T. (OWNER)
(989) 839-9309
Entity
Organization
Contact information
Practice address
6105 JEFFERSON AVE, MIDLAND, MI 48640-2935
(989) 839-9309
(989) 633-9170
Mailing address
6105 JEFFERSON AVE, MIDLAND, MI 48640-2935
(989) 839-8309
(989) 633-9170
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501003922
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P36760001
MEDICARE PTAN
MI
Enumeration date
09/29/2006
Last updated
02/08/2022
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