| NPI | 1093069734 |
|---|---|
| Doing Business As | GREAT LAKES PHYSICAL THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES HARVEY President / Administrator 231-941-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2022-11-09 |