Organization
PROSTAFF PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D VINCENT MPT (OWNER)
(810) 387-4900
Entity
Organization
Contact information
Practice address
7609 BROCKWAY RD, BROCKWAY, MI 48097-3459
(810) 387-4900
(810) 387-9200
Mailing address
7609 BROCKWAY RD, BROCKWAY, MI 48097-3459
(810) 387-4900
(810) 387-9200
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501008034
MI
Other
Enumeration date
05/29/2007
Last updated
12/17/2021
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