Organization
ORTHOPEDIC 360 PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DRAKE DPT, OMPT (OWNER/MANAGER)
(231) 632-4453
Entity
Organization
Contact information
Practice address
830 COTTAGEVIEW DR STE 204, TRAVERSE CITY, MI 49684-2384
(231) 632-4453
Mailing address
830 COTTAGEVIEW DR STE 204, TRAVERSE CITY, MI 49684-2384
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501013714
MI
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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