# REHABILITATION MEDICINE PHYSICIANS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134168305
- **Authorized official:** DR. CARMEN VENTOCILLA MD (PRESIDENT)
- **Authorized official phone:** (517) 351-8123

## Contact information

- **Practice address:** 3960 PATIENT CARE WAY, SUITE 102, LANSING, MI 48911-4275
- **Practice address phone:** (517) 351-8123
- **Practice address fax:** (517) 351-1352
- **Mailing address:** 3960 PATIENT CARE WAY, SUITE 102, LANSING, MI 48911-4275
- **Mailing address phone:** (517) 351-8123
- **Mailing address fax:** (517) 351-1352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | CV405064 | MI | Yes |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 11/06/2007