Provider Demographics
NPI:1609659036
Name:STRONG WOMEN STRONG MOMS LLC
Entity Type:Organization
Organization Name:STRONG WOMEN STRONG MOMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:DITTENBER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:989-318-3839
Mailing Address - Street 1:650 S GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:48634-9716
Mailing Address - Country:US
Mailing Address - Phone:989-318-3839
Mailing Address - Fax:
Practice Address - Street 1:4400 JAMES SAVAGE RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-6590
Practice Address - Country:US
Practice Address - Phone:989-318-3839
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy