Diversified Physical Therapy

NPI #1447443072 in Muskegon, Michigan

Provider Information

NPI Number: 1447443072
Entity Type: Organization
Organization Name: Diversified Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Aug 27, 2007
Last Updated: Sep 26, 2007

Practice Location

Address: 1595 W SHERMAN BLVD
City: Muskegon
State: Michigan
ZIP Code: 49441-3542
Phone: (231) 755-4404

Authorized Official

Name: MR. KEVIN E SPRAGUE, PT
Title: CO-OWNER
Phone: (231) 755-4404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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