Organization
FAMILY ORTHOPEDIC ASSOCIATES P L C
Active
Other names
OrthoMichigan Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KELSEY (DIRECTOR OF OPERATIONS)
(810) 733-1200
Entity
Organization
Contact information
Practice address
815 S STATE RD STE A, DAVISON, MI 48423-1751
(810) 652-6178
(810) 652-6181
Mailing address
4466 W BRISTOL RD, FLINT, MI 48507-3170
(810) 733-1200
(810) 733-3130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
5426420002 PTAN
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B50769
BCBSM PIN DME
MI
01
—
5426420002
MEDICARE NGS DME
MI
Enumeration date
08/16/2007
Last updated
09/19/2024
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