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Organization
LONGEVITY RESTORATIVE REHABILITATION SERVICES, LLC
Active
Organization
LONGEVITY RESTORATIVE REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMIE JAMES ANTHONY PT (PRESIDENT)
(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
08/27/2009
Last updated
10/06/2009
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