Organization
MOUNT PLEASANT PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIAOMENG WANG DPT (OWNER)
(989) 621-8690
Entity
Organization
Contact information
Practice address
4676 E BROOMFIELD RD, MOUNT PLEASANT, MI 48858-9192
(989) 621-8690
Mailing address
1511 SOMERSET CT, MOUNT PLEASANT, MI 48858-4498
(989) 621-8690
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501015658
MI
Other
Enumeration date
12/09/2011
Last updated
07/27/2012
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