Organization
GREAT LAKES PEDIATRIC THERAPY
Active
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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