Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE FLECK-POOL (CHIEF COMPLIANCE OFFICER)
(469) 467-8705
Entity
Organization
Contact information
Practice address
1586 WRIGHT AVE, ALMA, MI 48801-1020
(989) 463-1705
(989) 463-5797
Mailing address
2300 COIT RD, SUITE 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
—
0998080
HELATH PLUS PROVIDER NUMB
MI
01
—
30364
BCBS PROVIDER NUMBER
MI
01
—
6400940
PHP PROVIDER NUMBER
MI
Enumeration date
10/04/2006
Last updated
06/24/2010
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