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1972133817
REVIVE PHYSICAL THERAPY LLC
STERLING HEIGHTS, MI
NPI
1972133817
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Entity Type
Organization
Authorized Contact
TRE WILLIAMS
Owner
810-555-5555
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2020-01-20
Last Update Date
2020-12-18
Business Address
REVIVE PHYSICAL THERAPY LLC
36180 DOMINION CIR
STERLING HEIGHTS, MI 48310-7456
Phone number: 810-555-5555
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Mailing Address
REVIVE PHYSICAL THERAPY LLC
1665 BLOOMFIELD PLACE DR APT 422
BLOOMFIELD HILLS, MI 48302-3513
Phone number:
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