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Organization
PEAK PHYSICAL THERAPY CLINIC LLC
Active
Organization
PEAK PHYSICAL THERAPY CLINIC LLC
Active
Other names
Peak Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELIZABETH GALLEGOS DPT (OWNER/PHYSICAL THERAPIST)
(810) 360-0806
Entity
Organization
Contact information
Practice address
455 E GRAND RIVER AVE, SUITE 102, BRIGHTON, MI 48116-1551
(810) 360-0806
(810) 360-0327
Mailing address
455 E GRAND RIVER AVE, SUITE 102, BRIGHTON, MI 48116-1551
(810) 360-0806
(810) 360-0327
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011484
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12221828
CAQH PROVIDER NUMBER
MI
Enumeration date
02/26/2016
Last updated
06/09/2016
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