Organization
SPORT SUMMIT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN MCCONNELL DPT (OWNER/THERAPIST)
(989) 424-6088
Entity
Organization
Contact information
Practice address
1513 N MCEWAN ST, CLARE, MI 48617-1162
(989) 621-0457
Mailing address
11799 S EBERHART AVE, CLARE, MI 48617-9686
(989) 424-6088
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
12/27/2019
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