Organization
METAMORA PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI IRWIN (DPT)
(810) 964-3125
Entity
Organization
Contact information
Practice address
3562 S LAPEER RD STE F, METAMORA, MI 48455-8998
(810) 212-1277
Mailing address
3562 S LAPEER RD STE F, METAMORA, MI 48455-8998
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295805984
NPI
—
01
—
1497798326
NPI
—
Enumeration date
11/02/2017
Last updated
12/21/2017
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