Healthcare Provider Details

I. General information

NPI: 1669296034
Provider Name (Legal Business Name): PLYMOUTH PHYSICAL THERAPY SPECIALISTS LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2024
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1794 N LAPEER RD STE C
LAPEER MI
48446-7664
US

IV. Provider business mailing address

1794 N LAPEER RD STE C
LAPEER MI
48446-7664
US

V. Phone/Fax

Practice location:
  • Phone: 810-664-3000
  • Fax:
Mailing address:
  • Phone: 810-664-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: RICHARD BINSTEIN
Title or Position: EVP
Credential:
Phone: 713-297-7000