Great Lakes Physical Therapy, Pc

LBN: Great Lakes Physical Therapy, Pc
Great Lakes Physical Therapy, Pc is an health care organization with primary practice located at 3301 Bergquist Ave , Spirit Lake IA 51360-7268. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Rehabilitation, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty. Great Lakes Physical Therapy, Pc can be contacted via phone (712) 336-2722, or through Halland, David Jon via phone (712) 320-2722.

Contact Information

Primary practice address
3301 Bergquist Ave Spirit Lake IA 51360-7268
Phone: (712) 336-2722
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Halland, David Jon Physical Therapist (PT)
Phone: (712) 320-2722

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 00807 Iowa
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 01261 Iowa
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 01929 Iowa
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 03253 Iowa
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 00868 Iowa
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X 01681 Iowa
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 055168 Iowa

Profile Details

NPI number 1255646709
LBN Legal business name Great Lakes Physical Therapy, Pc
DBA Doing business as
Authorized official Halland, David Jon Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2010
Last updated Aug 9th, 2010 - about 14 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.

Request for update

Popular Providers