Organization
COPPER COUNTRY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP J SMYTHE (OWNER)
(906) 231-5029
Entity
Organization
Contact information
Practice address
21710 PEEPSOCK CIR, HOUGHTON, MI 49931-1050
(906) 231-5029
Mailing address
21710 PEEPSOCK CIR, HOUGHTON, MI 49931-1050
(906) 231-5029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005153
MI
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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