Organization
CROSWELL MANUAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN S. DEL ROSARIO R.P.T. (PHYSICAL THERAPIST)
(810) 679-0078
Entity
Organization
Contact information
Practice address
51 BROWN ST, SUITE 5, CROSWELL, MI 48422-1159
(810) 679-0078
(810) 679-4678
Mailing address
51 BROWN ST, SUITE 5, CROSWELL, MI 48422-1159
(810) 679-0078
(810) 679-4678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007571
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N97200
MEDICARE
MI
01
—
650G610300
BCBS
MI
Enumeration date
03/30/2007
Last updated
06/27/2008
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