Health Source Physical Therapy Center, Inc
Health Source Physical Therapy Center, Inc is a Physical Therapy Clinic/Center in Portland, Michigan. Licensed in Michigan. Registered with an NPI since 2006.
- Licensed in
- MI
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1447 E Grand River AvePortland, MI 48875-1631
Phone: (517) 647-1000
Fax: (517) 647-1100
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Clinic/Center (primary) | Taxonomy 261QP2000X · Licence 5501005495 (MI) |
|---|
Record details
| NPI number | 1083624969 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jaya Boddu — President · (517) 647-1000 |
| NPI enumerated | August 9, 2006 |
| Last updated in NPPES | December 20, 2011 |
| Mailing address | 1447 E Grand River Ave, Portland, MI 48875-1631 |