Comprehensive Therapy Center Inc

NPI 1073658597 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1073658597
Enumeration Date 02/21/2007
Last Updated 05/12/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JEAN C JEAN
Position EXECUTIVE DIRECTOR
Phone (616) 559-1054
Fax (616) 559-1056
Practice Location
2505 ARDMORE ST SE
GRAND RAPIDS MI, 49506-4924, US
Phone (616) 559-1054
Fax (616) 559-1056
Business Location
2505 ARDMORE ST SE
GRAND RAPIDS MI, 49506-4924, US
Phone (616) 559-1054
Fax (616) 559-1056
Toxanomy
Taxonomy Code 235Z00000X
License State Michigan
License Number 7101000658
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According to our database, Comprehensive Therapy Center Inc NPI is 1073658597, taxonomy code is 235Z00000X and license number is 7101000658, license state is located at Michigan. Comprehensive Therapy Center Inc physically located at 2505 Ardmore St Se, Grand Rapids MI, 49506-4924. NPI Number 1033115704 has the healthcare provider type.

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1073658597 NPI number is provided on an as is basis without warranty of any kind. 1073658597 is maintained by the National Plan & Provider Enumeration System. The contents of Comprehensive Therapy Center Inc are for informational purposes only.