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Organization
PERFORMANCE BUILDERS, LLC
Active
Organization
PERFORMANCE BUILDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT N WIERSMA PT (PRESIDENT)
(616) 847-2115
Entity
Organization
Contact information
Practice address
316 STICKNEY RIDGE RD, GRAND HAVEN, MI 49417-9314
(616) 847-2115
Mailing address
316 STICKNEY RIDGE RD, GRAND HAVEN, MI 49417-9314
(616) 847-2115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501001249
MI
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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