Organization
DIVERGENT PHYSICAL THERAPY & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGERANN NESLUND DPT (OWNER)
(734) 325-4404
Entity
Organization
Contact information
Practice address
1322 ANDREA ST, YPSILANTI, MI 48198-6605
(734) 325-4404
(734) 888-9141
Mailing address
1322 ANDREA ST, YPSILANTI, MI 48198-6605
(734) 325-4404
(734) 888-9141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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