David Jon Bilotta

Individual provider Active NPI Physical Therapy Assistant · Adrian, MI

NPI 1689178642 · NPPES record last updated Mar 22, 2018

Key facts

NPI
1689178642
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
5502003145 (MI)
Practice address
200 Sand Creek Hwy
Adrian, MI 49221-1255
Phone
(517) 263-6794
NPI assigned
Mar 22, 2018
Sex
Male
Sole proprietor
Yes

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
5502003145MIMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502003145 MI Yes

Addresses

Primary practice location

200 Sand Creek Hwy
Adrian, MI 49221-1255

Mailing address

183 N Charles St
Adrian, MI 49221-1802
Phone (734) 244-2657

Other providers in Adrian, MI

All providers in Adrian, MI · Physical Therapy Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.