Basic Information
Provider Information
NPI: 1407196983
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALMGREN
FirstName: DANA
MiddleName: M
NamePrefix: MRS.
NameSuffix:  
Credential: P.T.,D.P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 607 DEWEY AVE NW
Address2: SUITE 300
City: GRAND RAPIDS
State: MI
PostalCode: 495047335
CountryCode: US
TelephoneNumber: 6163565000
FaxNumber: 6163565001
Practice Location
Address1: 3001 CHAMBERLAIN LN
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402411985
CountryCode: US
TelephoneNumber: 5023393977
FaxNumber: 5024292193
Other Information
ProviderEnumerationDate: 02/21/2013
LastUpdateDate: 09/30/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X005981KYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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