Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE FLECK POOL (CHEIF COMPLIANCE OFFICER)
(469) 467-8705
Entity
Organization
Contact information
Practice address
7916 GRATIOT RD, SAGINAW, MI 48609-5024
(989) 793-0773
(989) 793-0272
Mailing address
2300 COIT RD, STE 300, PLANO, TX 75075-3768
(469) 467-8705
(267) 321-2550
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30647
BCBS
MI
Enumeration date
10/04/2006
Last updated
10/31/2011
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