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Organization
NORTH SHORE PHYSICAL THERAPY BELLAIRE LLC
Active
Organization
NORTH SHORE PHYSICAL THERAPY BELLAIRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY SUTHERLAND (MANAGER)
(231) 533-6113
Entity
Organization
Contact information
Practice address
102 S. BRIDGE ST., BELLAIRE, MI 49615
(231) 533-6113
(231) 533-5049
Mailing address
PO BOX 1020, BELLAIRE, MI 49615-1020
(231) 533-6113
(231) 533-5049
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501003806
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20855
PRIORITY HEALTH
MI
01
—
30611
BLUE CROSS BLUE SHIELD
MI
05
—
4690420
—
MI
01
—
5963537
AETNA
MI
Enumeration date
01/17/2007
Last updated
12/29/2022
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