Organization
FYZICAL THERAPY AND BALANCE CENTER BY THE BAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA TAHTINEN (OFFICE MANAGER)
(231) 439-3750
Entity
Organization
Contact information
Practice address
2609 CHARLEVOIX RD, PETOSKEY, MI 49770-8524
(231) 439-3750
(231) 439-5918
Mailing address
2609 CHARLEVOIX RD, PETOSKEY, MI 49770-8524
(231) 439-3750
(231) 439-5918
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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