Physical Therapy One, P.c.

NPI #1962499855 in Portage, Michigan

Provider Information

NPI Number: 1962499855
Entity Type: Organization
Organization Name: Physical Therapy One, P.c.
Primary Specialty: Physical Therapist
Enumeration Date: Oct 5, 2005
Last Updated: Jun 28, 2012

Practice Location

Address: 1423 W CENTRE AVE
City: Portage
State: Michigan
ZIP Code: 49024-5351
Phone: (269) 323-4300

Authorized Official

Name: MR. JOSEPH BRUCE WALTERS, M.S, P.T
Title: OWNER, PHYSICAL THERAPIST
Phone: (269) 323-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Physical Therapy Assistant	225200000X

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