Organization
PREMIERR PHYSICAL THERAPY & SPORTS MEDICINE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER SAKALA PT (OWNER/PRESIDENT/LIC PT)
(989) 817-6876
Entity
Organization
Contact information
Practice address
1277 E CEDAR AVE, GLADWIN, MI 48624-7004
(989) 426-1100
(989) 426-1400
Mailing address
1277 E CEDAR AVE, GLADWIN, MI 48624-7004
(989) 426-1100
(989) 426-1400
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501006733
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC71052
BCBSM
MI
Enumeration date
07/09/2013
Last updated
07/09/2013
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