Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE FLECK-POOL (CHIEF COMPLIANCE OFFICER)
(469) 467-8705
Entity
Organization
Contact information
Practice address
1231 W MAIN ST, SUITE B, FREMONT, MI 49412-1484
(231) 924-8777
(231) 924-8776
Mailing address
2300 COIT RD, STE 300, PLANO, TX 75075-3768
(469) 467-8705
(267) 321-2550
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30609
BCBS
MI
05
—
4717630
—
MI
Enumeration date
09/19/2006
Last updated
06/24/2010
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