Organization
FUNCTIONAL DIMENSIONS LLC
Active
Other names
SUPERIOR PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW GORECKI (OWNER)
(231) 649-2015
Entity
Organization
Contact information
Practice address
3899 W. FRONT ST. UNIT #3, TRAVERSE CITY, MI 49684
(231) 649-2015
(231) 421-8447
Mailing address
3899 W. FRONT ST. UNIT #3, TRAVERSE CITY, MI 49684
(231) 649-2015
(231) 421-8447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014611
MI
Other
Enumeration date
08/24/2011
Last updated
01/12/2021
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