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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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