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Organization
LAKESHORE REHABILITATION CENTER PC
Active
Organization
LAKESHORE REHABILITATION CENTER PC
Active
Other names
West Michigan Sports Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMIE J ANTHONY PT (OWNER PHYSICAL THERAPIST)
(231) 728-4102
Entity
Organization
Contact information
Practice address
137 E LAKETON AVE, MUSKEGON, MI 49442-5507
(231) 728-4102
(231) 722-0800
Mailing address
137 E LAKETON AVE, MUSKEGON, MI 49442-5507
(231) 728-4102
(231) 722-0800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007594
MI
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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