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Organization
NEW LIFE PHYSICAL THERAPY SERVICES LLC
Active
Organization
NEW LIFE PHYSICAL THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIRAV ANILKUMAR SHAH RPT (PRESIDENT)
(586) 782-7061
Entity
Organization
Contact information
Practice address
25529 VAN DYKE AVE, SUITE A-1, CENTER LINE, MI 48015-1848
(586) 782-7061
Mailing address
25529 VAN DYKE AVE, SUITE A-1, CENTER LINE, MI 48015-1848
(586) 782-7061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012206
MI
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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