Healthcare Provider Details

I. General information

NPI: 1962656009
Provider Name (Legal Business Name): NEW ERA PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2008
Last Update Date: 03/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G4007 W COURT ST SUITE #G2
FLINT MI
48532-3560
US

IV. Provider business mailing address

G4007 W COURT ST SUITE #G2
FLINT MI
48532-3560
US

V. Phone/Fax

Practice location:
  • Phone: 810-230-0444
  • Fax: 810-230-0474
Mailing address:
  • Phone: 810-230-0444
  • Fax: 810-230-0474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. VINOD JOSHI
Title or Position: PRESIDENT
Credential:
Phone: 586-884-6551