DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GINA P OTTERBEIN PT

MEDICARE: GINA P OTTERBEIN PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5501004396MI

General Provider Information

NPI Number : 1821212556
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA P OTTERBEIN PT
Provider Business Mailing Address
First Line : 5759 BEAVER CREEK
Second Line :
City : COOPERSVILLE
State : MI
Zip : 49404
Country : US
Telephone Number : 616-837-9674
Fax Number :
Provider Business Practice Location Address
First Line : 25 CONRAN DR
Second Line :
City : COOPERSVILLE
State : MI
Zip : 49404-1366
Country : US
Telephone Number : 616-997-6172
Fax Number : 616-997-6178
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1083690697 — AMY D HEATHFIELD OTR
Practice Location Address:
25 CONRAN DR
COOPERSVILLE, MI
49404-1366
Practice Phone: 616-997-6172
Practice Fax: 616-997-6178
1902990583 — KIMBERLY TEW PA
Practice Location Address:
25 CONRAN DR , SUITE B
COOPERSVILLE, MI
49404-1366
Practice Phone: 616-267-7860
Practice Fax: 616-267-7861
1619191756 — LISA ANN OTTERBEINBOLEK MSPT
Practice Location Address:
25 CONRAN DR
COOPERSVILLE, MI
49404-1366
Practice Phone: 616-997-6172
Practice Fax: 616-997-6178
1578787628 — SARAH JANE DOWDY PT
Practice Location Address:
25 CONRAN DR
COOPERSVILLE, MI
49404-1366
Practice Phone: 616-997-6172
Practice Fax:
1164642823 — JILL MICHELLE BANKA PTA
Practice Location Address:
25 CONRAN DR
COOPERSVILLE, MI
49404-1366
Practice Phone: 616-997-6172
Practice Fax:
1194964734 — TERRI JEURINK MPT
Practice Location Address:
25 CONRAN DR
COOPERSVILLE, MI
49404-1366
Practice Phone: 616-997-6172
Practice Fax: 616-997-6178

Directions to “ GINA P OTTERBEIN PT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.