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NPI 1164693982

NPI 1164693982 : THE PHYSICAL THERAPY CONNECTION, INC. : LANSING, MI

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General NPI Number Information
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    NPI Number           |    1164693982
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE PHYSICAL THERAPY CONNECTION, INC. 
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Dates
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    Enumeration Date     |    03/19/2008
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    Last Update Date     |    09/02/2025
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Provider Practice Location Address
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    Address Line         |    13575 S AIRPORT RD STE 105 
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    City                 |    LANSING
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    State                |    MI
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    Zip                  |    48906-9187
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    Country              |    US
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    Telephone            |    517-668-0000
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    Fax                  |    517-668-0017
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Provider Business Mailing Address
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    Address Line         |    13575 S AIRPORT RD STE 105 
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    City                 |    LANSING
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    State                |    MI
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    Zip                  |    48906-9187
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    Country              |    US
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    Telephone            |    517-668-0000
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    Fax                  |    517-668-6676
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Authorized Official
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    Title or Position    |    PRESIDENT/OWNER
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    Name                 |     ELIZABETH ANN LANDGRAF 
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    Credential           |    P.T.
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    Telephone            |    517-668-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    929013
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    License Number State |    MI
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