Organization
NORTHPORT PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA MARY MADAY PT, DPT (OWNER)
(989) 652-0167
Entity
Organization
Contact information
Practice address
301 N MILL ST, NORTHPORT, MI 49670-5009
(231) 386-7147
Mailing address
9242 ORMES RD, VASSAR, MI 48768-9682
(989) 652-0167
(989) 652-0167
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501003462
MI
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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