Provider Demographics
NPI:1427376169
Name:FOCUS ON FUNCTION PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:FOCUS ON FUNCTION PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SLEIK
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, OCS, CEAS
Authorized Official - Phone:906-779-9487
Mailing Address - Street 1:PO BOX 706
Mailing Address - Street 2:
Mailing Address - City:IRON MOUNTAIN
Mailing Address - State:MI
Mailing Address - Zip Code:49801-0706
Mailing Address - Country:US
Mailing Address - Phone:906-779-9487
Mailing Address - Fax:906-828-1473
Practice Address - Street 1:221 E A ST
Practice Address - Street 2:SUITE C
Practice Address - City:IRON MOUNTAIN
Practice Address - State:MI
Practice Address - Zip Code:49801-3462
Practice Address - Country:US
Practice Address - Phone:906-779-9487
Practice Address - Fax:906-828-1473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-05
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501012214225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty