Organization
PHYSICAL THERAPY SERVICES OF GRAND RAPIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY LOU CARRIER PT (MEMBER)
(616) 481-3690
Entity
Organization
Contact information
Practice address
4070 LAKE DR SE, SUITE: 204, GRAND RAPIDS, MI 49546-8294
(616) 481-3690
Mailing address
4070 LAKE DR SE, SUITE: 204, GRAND RAPIDS, MI 49546-8294
(616) 481-3690
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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