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Organization

KENTWOOD PHYSICAL THERAPY, PLLC

Active
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Organization

KENTWOOD PHYSICAL THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADAM B BEADENKOPF P.T. (CO-OWNER)
(616) 446-9058
Entity
Organization

Contact information

Practice address
1423 60TH ST SE, KENTWOOD, MI 49508-7065
(616) 446-9058
(616) 821-6162
Mailing address
1423 60TH ST SE, KENTWOOD, MI 49508-7065
(616) 446-9058
(616) 821-6162

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010446
MI

Other

Enumeration date
05/05/2007
Last updated
08/22/2020
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