Organization
GREAT LAKES PHYSICAL THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF A EATON PT (OWNER/PHYSICAL THERAPIST)
(231) 744-0077
Entity
Organization
Contact information
Practice address
2045 HOLTON RD, NORTH MUSKEGON, MI 49445-1535
(231) 744-0077
Mailing address
2045 HOLTON RD, NORTH MUSKEGON, MI 49445-1535
(231) 744-0077
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501011276
MI
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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