Great Lakes Physical Therapy And Rehabilitation Llc

LBN: Great Lakes Physical Therapy And Rehabilitation Llc
Great Lakes Physical Therapy And Rehabilitation Llc is an health care organization with primary practice located at 12434 E 12 Mile Rd Ste 101 , Warren MI 48093-3536. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Great Lakes Physical Therapy And Rehabilitation Llc can be contacted via phone (586) 578-9121, or through Stapels, David James via phone (586) 321-4563.

Contact Information

Primary practice address
12434 E 12 Mile Rd Ste 101 Warren MI 48093-3536
Fax: (586) 578-9124
Website:
Authorized official contact:
Name: Stapels, David James

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X E6533E Michigan

Profile Details

NPI number 1124401625
LBN Legal business name Great Lakes Physical Therapy And Rehabilitation Llc
DBA Doing business as
Authorized official Stapels, David James
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2015
Last updated Jul 1st, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124401625 NPPES
Other 12434 ADDRESS

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