Dexter Idnay, PHYSICAL THERAPIST

NPI #1629404538 in Harbor Beach, Michigan

Provider Information

NPI Number: 1629404538
Entity Type: Individual
Name: Dexter Idnay, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Sep 24, 2013
Last Updated: Sep 24, 2013

Practice Location

Address: 129 N 1ST ST
City: Harbor Beach
State: Michigan
ZIP Code: 48441-1102
Phone: (989) 479-3101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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