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Organization
PART B LLC
Active
Organization
PART B LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHON BISSETT (FINANCE MANAGER)
(586) 744-1403
Entity
Organization
Contact information
Practice address
671 E BIG BEAVER RD STE 207, TROY, MI 48083-1422
(586) 224-9354
(586) 461-2090
Mailing address
671 E BIG BEAVER RD STE 207, TROY, MI 48083-1422
(586) 744-1403
(586) 461-2090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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