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Paul Frederick
Physical Therapy Clinic/Center in South Haven, Michigan
NPI 1790881290

Paul Frederick is a Physical Therapy Clinic/Center based in South Haven, MI and is specialized in Physical Therapy. Paul Frederick practices in South Haven, MI. The NPI Number for Paul Frederick is 1790881290 and holds a License No. M15501011004 (Michigan).

The current practice location address for Paul Frederick is 02957 73Rd St, South Haven, MI and can be reached out via phone at 269-637-9099 and via fax at 269-637-9224.

Location: 02957 73Rd St, South Haven, MI, 49090-9364
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790881290
Provider Name
Paul Frederick
Credential
Provider Entity Type
Individual
Gender
Male
Address
02957 73Rd St, South Haven, MI, 49090-9364
Phone Number
269-637-9099
Fax Number
269-637-9224
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4800853 05 MI
OHO1023 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
02957 73Rd St
City
South Haven
State
Michigan
Zip
49090-9364
Phone Number
269-637-9099
Fax Number
269-637-9224
person
Provider Business Mailing Address Details
Address
02957 73Rd St
City
South Haven
State
Michigan
Zip
49090-9364
Phone Number
269-637-9099
Fax Number
269-637-9224
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Physical Therapy
Taxonomy
261QP2000X
License No.
M15501011004 (Michigan)
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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