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Organization
PT 360 PHYSICAL THERAPY, PLC
Active
Organization
PT 360 PHYSICAL THERAPY, PLC
Active
Other names
PT 360
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A ASSELIN PT (OWNER)
(616) 776-7771
Entity
Organization
Contact information
Practice address
1502 WEALTHY ST, GRAND RAPIDS, MI 49506
(616) 776-7771
Mailing address
P O BOX 6088, GRAND RAPIDS, MI 49516
(616) 776-7771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013640
MI
Other
Enumeration date
01/27/2009
Last updated
02/27/2009
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