Longevity Restorative Rehabilitation Services, LLC

NPI #1578796363 in Muskegon, Michigan

Provider Information

NPI Number: 1578796363
Entity Type: Organization
Organization Name: Longevity Restorative Rehabilitation Services, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 27, 2009
Last Updated: Oct 6, 2009

Practice Location

Address: 137 E LAKETON AVE
City: Muskegon
State: Michigan
ZIP Code: 49442-5507
Phone: (231) 728-4102

Authorized Official

Name: JIMMIE JAMES ANTHONY, PT
Title: PRESIDENT
Phone: (231) 728-4102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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