| NPI | 1649480674 |
|---|---|
| Doing Business As | GREAT LAKES PHYSICAL THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES A HARVEY Administrator 231-941-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-02-19 |