Health Source Physical Therapy Center, Inc.
NPI #1083624969 in Portland, Michigan
Provider Information
- NPI Number
- 1083624969
- Entity Type
- Organization
- Organization Name
- Health Source Physical Therapy Center, Inc.
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Aug 9, 2006
- Last Updated
- Dec 20, 2011
Practice Location
Authorized Official
- Name
- MR. JAYA P BODDU
- Title
- PRESIDENT
- Phone
- (517) 647-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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