Organization
FIRST REHAB PHYSICAL THERAPY P.C.
Active
Other names
First Rehab Physical Therapy P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN HEMINGWAY MPT (OFFICER)
(269) 795-4230
Entity
Organization
Contact information
Practice address
4525 N M 37 HWY, SUITE B, MIDDLEVILLE, MI 49333-8166
(269) 795-4230
(269) 795-4191
Mailing address
4525 N M 37 HWY, SUITE B, MIDDLEVILLE, MI 49333-8166
(269) 795-4230
(269) 795-4191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010312
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650Z810240
BC/BS
MI
Enumeration date
04/09/2008
Last updated
01/15/2011
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