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1407564024
SOUVA PT AND PERFORMANCE LLC
SHELBY TOWNSHIP, MI
NPI
1407564024
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Entity Type
Organization
Authorized Contact
JACOB BRAD SOUVA
Owner
586-569-1621
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2022-11-14
Last Update Date
2024-09-09
Business Address
SOUVA PT AND PERFORMANCE LLC
51220 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48316-4440
Phone number: 586-210-0530
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Mailing Address
SOUVA PT AND PERFORMANCE LLC
71575 JULIUS DR
BRUCE TOWNSHIP, MI 48065-3187
Phone number: 586-569-1621
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