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Organization

KALTHERAPY PC

Active
Other names
Physical Therapy Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DALE J OBRYANT OTR (PRESIDENT)
(269) 375-2200
Entity
Organization

Contact information

Practice address
5886 VENTURE PARK, KALAMAZOO, MI 49009-1848
(269) 375-4737
(269) 375-2266
Mailing address
5886 VENTURE PARK, KALAMAZOO, MI 49009-1848
(269) 375-4737
(269) 375-2266

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6430152
IBA
MI
Enumeration date
08/18/2006
Last updated
08/22/2020
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