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Organization
ACTIVE PHYSICAL THERAPY AND REHAB SERVICES INC.
Active
Organization
ACTIVE PHYSICAL THERAPY AND REHAB SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHAMUNDEESWARI MUTHUVINAYAGAM PHYSICALTHERAPIST (OWNER/ADMINISTRATOR)
(810) 966-8500
Entity
Organization
Contact information
Practice address
718 HURON AVE, PORT HURON, MI 48060-3704
(810) 966-8500
(810) 966-8600
Mailing address
718 HURON AVE, PORT HURON, MI 48060-3704
(810) 966-8500
(810) 966-8600
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
N/A
NULL
Other
Enumeration date
05/17/2006
Last updated
03/14/2016
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