Provider Demographics
NPI:1124285739
Name:GIGER MD THERAPY LLC
Entity type:Organization
Organization Name:GIGER MD THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-247-2102
Mailing Address - Street 1:37009 MITCHELL STREET
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439
Mailing Address - Country:US
Mailing Address - Phone:810-247-2102
Mailing Address - Fax:810-655-4648
Practice Address - Street 1:8384 HOLLY RD
Practice Address - Street 2:SUITE 2
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439
Practice Address - Country:US
Practice Address - Phone:810-247-2102
Practice Address - Fax:810-655-4648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty