# NEW VISION REHAB CENTER INC

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

## Provider details

- **NPI number:** 1235699646
- **Authorized official:** EBONY BURKE (COO)
- **Authorized official phone:** (586) 393-5041

## Contact information

- **Practice address:** 13087 E 11 MILE RD, WARREN, MI 48088-4795
- **Practice address phone:** (585) 393-5041
- **Mailing address:** 13087 E 11 MILE RD, WARREN, MI 48088-4795
- **Mailing address phone:** (585) 393-5041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 225C00000X | Rehabilitation Counselor | — | NULL | — |
| 225C00000X | Rehabilitation Counselor | — | — | — |

## Other

- **Enumeration date:** 03/21/2019
- **Last updated:** 03/21/2019
