Organization
GREAT LAKES PHYSICAL THERAPIES, LLC
Active
Organization
GREAT LAKES PHYSICAL THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LINK A DEPHOUSE SR. PT (PT/OWNER)
(616) 842-5555
Entity
Organization
Contact information
Practice address
921 S BEECHTREE ST, SUITE 5, GRAND HAVEN, MI 49417-2385
(616) 842-0555
Mailing address
921 S BEECHTREE ST, SUITE 5, GRAND HAVEN, MI 49417-2385
(616) 842-0555
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501011546
MI
Other
Enumeration date
10/03/2008
Last updated
03/10/2009
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