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Organization
REGENERATE PHYSICAL THERAPY & PERFORMANCE LLC
Active
Organization
REGENERATE PHYSICAL THERAPY & PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP JARDINE DPT (PHYSICAL THERAPY)
(269) 235-9816
Entity
Organization
Contact information
Practice address
8750 W CAMPUS CIRCLE DR ROOM 167, BERRIEN SPRINGS, MI 49104-0001
(269) 235-9816
Mailing address
515 HAWTHORNE LN, NILES, MI 49120-2911
(269) 449-7455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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