Organization
PHYSICAL THERAPY CENTER OF MIDLAND, LLC
Active
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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