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Organization
UNITED REHAB MICHIGAN, INC.
Active
Organization
UNITED REHAB MICHIGAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB CHACKO P.T. (OWNER)
(248) 935-3364
Entity
Organization
Contact information
Practice address
261 W CANFORD PARK, CANTON, MI 48187-6667
(248) 935-3364
(734) 983-0575
Mailing address
261 W CANFORD PARK, CANTON, MI 48187-6667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/01/2008
Last updated
11/19/2009
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