Organization
P.T. SERVICES REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA M. DEITEMEYER CCA (ADMINISTRATOR)
(419) 447-7203
Entity
Organization
Contact information
Practice address
15555 S TELEGRAPH RD, SUITE 13, MONROE, MI 48161-4000
(419) 447-7203
(419) 447-5577
Mailing address
PO BOX 833, TIFFIN, OH 44883-0833
(419) 447-7203
(419) 447-5577
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3032465
—
MI
Enumeration date
08/12/2005
Last updated
08/22/2020
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