| |
3680 E Court St, Flint, MI 48506-4106 | |
(810) 230-4240 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 3680 E Court St, Flint, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568238996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Louis Gregeory Haase |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871296244 PECOS PAC ID: 3678938370 Enrollment ID: I20231108001026 |
Mailing Address | Practice Location Address |
---|---|
10136 St Ives Way, Grand Blanc, MI 48439-2539 Ph: (248) 798-6631 | 3680 E Court St, Flint, MI 48506-4106 Ph: (810) 230-4240 |