# KINETIC REHABILITATION INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KINETIC REHABILITATION INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235670373
- **Legal business name:** KINETIC REHABILITATION INC.
- **Authorized official:** ANDREA KONJA DPT (PRESIDENT)
- **Authorized official phone:** (248) 722-1617

## Contact information

- **Practice address:** 22180 PONTIAC TRL, SOUTH LYON, MI 48178-9097
- **Practice address phone:** (248) 446-0155
- **Mailing address:** 9865 LAPHAM WAY, PLYMOUTH, MI 48170-5854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/08/2017
- **Last updated:** 03/08/2017