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Organization
REGAIN THERAPY SERVICES LLC
Active
Organization
REGAIN THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIVENKATESH BALAMANICKAM (PHYSICAL THERAPIST)
(248) 278-8938
Entity
Organization
Contact information
Practice address
5700 WATER TOWER PL, CLARKSTON, MI 48346-2668
(248) 278-8938
Mailing address
1815 ENTERPRISE DR, TROY, MI 48083-1809
(248) 278-8937
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/22/2022
Last updated
02/27/2023
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