Organization
INITIUM PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR CARR DPT (PHYSICAL THERAPIST)
(269) 470-5831
Entity
Organization
Contact information
Practice address
2506 S STATE ST, SAINT JOSEPH, MI 49085-1916
(269) 470-5831
Mailing address
2506 S STATE ST, SAINT JOSEPH, MI 49085-1916
(269) 470-5831
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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