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Organization
EASTSIDE PHYSICAL THERAPY LLC
Active
Organization
EASTSIDE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMI FALTAS PT (OWNER)
(248) 739-9059
Entity
Organization
Contact information
Practice address
24025 GREATER MACK AVE, SUITE 101, SAINT CLAIR SHORES, MI 48080-1484
(248) 739-9059
Mailing address
11258 REGAL DR, STERLING HEIGHTS, MI 48313-4974
(248) 739-9059
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5501008309
MI
Other
Enumeration date
05/01/2015
Last updated
05/21/2015
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