Organization
PTX PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN ISAACS (PHYSICAL THERAPIST)
(616) 402-3419
Entity
Organization
Contact information
Practice address
17210 VAN WAGONER RD, SPRING LAKE, MI 49456
(616) 402-3419
Mailing address
17210 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
(616) 402-3419
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501006842
MI
Other
Enumeration date
05/07/2018
Last updated
06/30/2018
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