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Organization
PTSPORTSPRO, PLLC
Active
Organization
PTSPORTSPRO, PLLC
Active
Other names
PTSportsPRO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERENCE RODERICK REUBEN PT (FOUNDER/CEO)
(616) 901-3831
Entity
Organization
Contact information
Practice address
1925 BRETON RD SE STE 130, GRAND RAPIDS, MI 49506-4810
(616) 901-3831
Mailing address
1925 BRETON RD SE STE 130, GRAND RAPIDS, MI 49506-4810
(866) 478-7776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
04/12/2024
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