Functional Dimensions

NPI 1780076232 - Physical Therapist - 225100000X

NPI Details
NPI 1780076232
Enumeration Date 02/20/2015
Last Updated 02/20/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name BELINDA BELINDA
Position BILLER
Phone (231) 421-9277
Fax (231) 421-8447
Practice Location
3899 W FRONT ST
UNIT 3
TRAVERSE CITY MI, 49684-8153, US
Phone (231) 421-9277
Fax (231) 421-8447
Business Location
3899 W FRONT ST
UNIT 3
TRAVERSE CITY MI, 49684-8153, US
Phone (231) 421-9277
Fax (231) 421-8447
Toxanomy
Taxonomy Code 225100000X
License State Michigan
License Number 5501014611
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According to our database, Functional Dimensions NPI is 1780076232, taxonomy code is 225100000X and license number is 5501014611, license state is located at Michigan. Functional Dimensions physically located at 3899 W Front St, Traverse City MI, 49684-8153. NPI Number 1033115704 has the healthcare provider type.

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1780076232 NPI number is provided on an as is basis without warranty of any kind. 1780076232 is maintained by the National Plan & Provider Enumeration System. The contents of Functional Dimensions are for informational purposes only.