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Organization
MARY FREE BED REHABILITATION, LLC
Active
Organization
MARY FREE BED REHABILITATION, LLC
Active
Other names
Back in Motion, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN PODVIN (CFO)
(616) 840-8877
Entity
Organization
Contact information
Practice address
866 3 MILE RD NW, SUITE A, GRAND RAPIDS, MI 49544-8217
(616) 647-4618
(616) 464-3581
Mailing address
866 3 MILE RD NW, SUITE A, GRAND RAPIDS, MI 49544-8217
(616) 647-4618
(616) 464-3581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650D157230
BCN
MI
Enumeration date
03/07/2006
Last updated
04/15/2021
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