Organization
GRAND TRAVERSE PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY NELSON PT (OWNER)
(231) 941-6500
Entity
Organization
Contact information
Practice address
735 S GARFIELD AVE, SUITE 100, TRAVERSE CITY, MI 49686-3489
(231) 941-6500
(231) 941-6600
Mailing address
735 S GARFIELD AVE, SUITE 100, TRAVERSE CITY, MI 49686-3489
(231) 941-6500
(231) 941-6600
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2008
Last updated
06/11/2008
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