Larry Dittmar

NPI 1336244821 · on the registry since 2006 · sole proprietor

Practice

Address: 250 S Lake St
East Jordan, MI 49727
Phone: (231) 536-0901
Organisation at this address: Rite Aid
Rite Aid Of Michigan Inc
Active Recovery Physical Therapy & Sports Rehab
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan