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1154822930
ADAM DIVER
GRAND RAPIDS, MI
NPI
1154822930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501017394)
Enumeration Date
2018-02-27
Last Update Date
2018-02-27
Business Address
ADAM DIVER PT, DPT
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503-5247
Phone number: 616-840-8233
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Mailing Address
ADAM DIVER PT, DPT
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503-5247
Phone number:
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