Organization
COOPERATIVE PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CHARLES PERRIN MSPT, ATC, CSCS (SOLE PROPRIETER)
(616) 608-7786
Entity
Organization
Contact information
Practice address
1935 SANDBURR DR, JENISON, MI 49428-9463
(616) 608-7786
(616) 608-7786
Mailing address
1935 SANDBURR DR, JENISON, MI 49428-9463
(616) 608-7786
(616) 608-7786
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501010589
MI
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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