| NPI | 1104998319 |
|---|---|
| Doing Business As | PORTAGE ORTHOPEDIC & SPORTS PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | HARRY JOHN LEKOSIOTIS Administrator 269-324-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501004512) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2011-05-25 |