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Organization
NORTHWOODS PT LLC
Active
Organization
NORTHWOODS PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTEN BOYSEN DPT (OWNER)
(720) 255-6992
Entity
Organization
Contact information
Practice address
5782 US HIGHWAY 31 N, WILLIAMSBURG, MI 49690-9312
(231) 938-2425
Mailing address
5782 US HIGHWAY 31 N, WILLIAMSBURG, MI 49690-9312
(231) 938-2425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016687
MI
Other
Enumeration date
06/22/2017
Last updated
07/20/2017
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