Individual
MR. ALBERT J NEUKOM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT ATC CMPT OCS
Contact information
Practice address
410 N WILLOWBROOK RD, COLDWATER, MI 49036-9462
(517) 279-9599
(517) 279-1679
Mailing address
410 N WILLOWBROOK RD, COLDWATER, MI 49036-9462
(517) 279-9599
(517) 279-1679
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010291
MI
2251S0007X
Sports Physical Therapist
2601000394
MI
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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