Organization
DIVERSIFIED PHYSICAL THERAPY SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA M MADAY (ADMINISTRATOR PHSYICAL THERAPISTS)
(989) 652-4040
Entity
Organization
Contact information
Practice address
193 E JEFFERSON STREET, FRANKENMUTH, MI 48734-1935
(989) 652-4040
(989) 652-4703
Mailing address
193 E JEFFERSON STREET, FRANKENMUTH, MI 48734-1935
(989) 652-4040
(989) 652-4703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30626
BC
—
05
—
3251891
—
MI
Enumeration date
10/23/2006
Last updated
12/20/2011
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