Organization
A-ONE PHYSICAL THERAPY AND SPORTS INJURY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUKESH K. SURYAVANSHI (OWNER/ADMINISTRATOR)
(810) 245-9400
Entity
Organization
Contact information
Practice address
404 W NEPESSING ST STE A, LAPEER, MI 48446-2150
(810) 245-9400
(810) 245-9080
Mailing address
404 W NEPESSING ST STE A, LAPEER, MI 48446-2150
(810) 245-9400
(810) 245-9080
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017821
MCLAREN HEALTH PLAN
MI
Enumeration date
09/06/2006
Last updated
08/22/2020
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