Dane Erick Potochny M.P.T.

NPI 1164652764 - Physical Therapist - 225100000X

NPI Details
NPI 1164652764
Gender Male
Enumeration Date 07/17/2009
Last Updated 07/17/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
10809 S SAGINAW ST
GRAND BLANC MI, 48439-7033, US
Phone (810) 695-8700
Fax (810) 695-7946
Business Location
10809 S SAGINAW ST
GRAND BLANC MI, 48439-7033, US
Phone (810) 695-8700
Fax (810) 695-7946
Toxanomy
Taxonomy Code 225100000X
License State Michigan
License Number 5501011078
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According to our database, Dane Erick Potochny M.P.T. NPI is 1164652764, taxonomy code is 225100000X and license number is 5501011078, license state is located at Michigan. Dane Erick Potochny M.P.T. physically located at 10809 S Saginaw St, Grand Blanc MI, 48439-7033. NPI Number Dane Erick Potochny M.P.T. has the Individual type.

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1164652764 NPI number is provided on an as is basis without warranty of any kind. 1164652764 is maintained by the National Plan & Provider Enumeration System. The contents of Dane Erick Potochny M.P.T. are for informational purposes only.