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Organization

SUPERIOR ACTIVE PARTNERS LLC

Active
Other names
Active Physical Therapy - Ishpeming
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LESLIE L HARTMAN (BUSINESS MANAGER)
19068694343
Entity
Organization

Contact information

Practice address
820 CARP RIVER LN, STE 2, ISHPEMING, MI 49849-3187
(906) 869-4343
Mailing address
820 CARP RIVER LN, STE 2, ISHPEMING, MI 49849-3187
(906) 869-4343

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501009086
MI

Other

Enumeration date
07/17/2013
Last updated
01/02/2020
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