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Organization
WEST MICHIGAN REHABILITATION CENTER, INC
Active
Organization
WEST MICHIGAN REHABILITATION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PASUPATHY VADIVELU I BACHOLOR DEGREE (ADMINISTRATOR)
(616) 249-3545
Entity
Organization
Contact information
Practice address
3181 PRAIRIE ST SW, SUITE 102, GRANDVILLE, MI 49418-2097
(616) 249-3545
(616) 249-3549
Mailing address
3181 PRAIRIE ST SW, SUITE 102, GRANDVILLE, MI 49418-2097
(616) 249-3545
(616) 249-3549
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005841
MI
Other
Enumeration date
04/13/2006
Last updated
08/22/2020
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