William James Caron, PT

Individual provider Active NPI Physical Therapist · Iron Mountain, MI

NPI 1588909121 · NPPES record last updated Dec 9, 2012

Key facts

NPI
1588909121
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
5501008075 (MI)
Practice address
1200 E E St
Iron Mountain, MI 49801-3654
Phone
(906) 779-1103
NPI assigned
Dec 9, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5501008075MIMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501008075 MI Yes

Addresses

Primary practice location

1200 E E St
Iron Mountain, MI 49801-3654

Mailing address

1200 E E St
Iron Mountain, MI 49801-3654
Phone (906) 779-1103

Other providers in Iron Mountain, MI

All providers in Iron Mountain, MI · Physical Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.