| NPI | 1669148029 |
|---|---|
| Doing Business As | FENTON PT |
| Doing Business As | FENTON PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | COREY OTIS Office Manager 810-629-3338 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |