Organization
REVIVE PELVIC HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE M BUSTOS DPT (PHYSICAL THERAPIST)
(906) 281-5544
Entity
Organization
Contact information
Practice address
47461 US HIGHWAY 41, HOUGHTON, MI 49931-9016
(906) 285-6720
(906) 254-3554
Mailing address
19045 WHITE PINE LN, HOUGHTON, MI 49931-9066
(906) 281-5544
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
04/10/2024
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