Organization
GREAT LAKES PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BARRY PT, DPT (OWNER, PEDIATRIC PHYSICAL THERAPIST)
(989) 372-6404
Entity
Organization
Contact information
Practice address
356 FRANK RD, FRANKENMUTH, MI 48734-1258
(989) 372-6404
Mailing address
356 FRANK RD, FRANKENMUTH, MI 48734-1258
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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