Organization
BACK TO BASICS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE SWEET (OWNER)
(810) 588-8805
Entity
Organization
Contact information
Practice address
1220 N LEROY ST, FENTON, MI 48430-2760
(810) 588-8805
Mailing address
1220 N LEROY ST, FENTON, MI 48430-2760
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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