| Croswell Manual Therapy Inc. | |
|
51 Brown St, Suite 5, Croswell, MI 48422-1159 | |
| (810) 679-0078 | |
| (810) 679-4678 |
| Full Name | Croswell Manual Therapy Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 51 Brown St, Croswell, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528188703 | NPI | - | NPPES |
| 0N97200 | Other | MI | MEDICARE |
| 650G610300 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501007571 (Michigan) | Primary |
| Provider Name | Jonathan S Del Rosario |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245389352 PECOS PAC ID: 5890762736 Enrollment ID: I20040910001288 |
| Provider Name | Donna M Grundman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497716955 PECOS PAC ID: 1557559200 Enrollment ID: I20101221001096 |
| Mailing Address | Practice Location Address |
|---|---|
| Croswell Manual Therapy Inc. 51 Brown St, Suite 5, Croswell, MI 48422-1159 Ph: (810) 679-0078 | Croswell Manual Therapy Inc. 51 Brown St, Suite 5, Croswell, MI 48422-1159 Ph: (810) 679-0078 |
Champion Physical Therapy And Rehab Services Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 87 N Howard Ave Unit 1, Croswell, MI 48422 Phone: 810-334-1127 | |
Shannon Marie Kautz, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 79 N Howard Ave Ste B, Croswell, MI 48422 Phone: 810-334-1090 | |
Mr. Jonathan Sison Del Rosario, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 51 Brown St Ste 5, Croswell, MI 48422 Phone: 810-679-0078 Fax: 810-679-4678 | |
Nicholas Jex, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 87 N Howard Ave, Unit 1, Croswell, MI 48422 Phone: 810-334-1127 | |
Maija Matintytar Fenner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6512 Wellman Line Rd, Croswell, MI 48422 Phone: 810-278-7514 |