Preventionphysicaltherapy

NPI #1245457837 in Portage, Michigan

Provider Information

NPI Number: 1245457837
Entity Type: Organization
Organization Name: Preventionphysicaltherapy
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 18, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5817 S WESTNEDGE AVE
City: Portage
State: Michigan
ZIP Code: 49002-1456
Phone: (269) 385-3000

Authorized Official

Name: RENU SHARMA
Title: PRESIDENT
Phone: (269) 385-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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