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Organization
PREMIER REHABILITATION
Active
Organization
PREMIER REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER WILSON (MEMBER/PHYSICAL THERAPIST)
(517) 709-4677
Entity
Organization
Contact information
Practice address
2380 CEDAR ST, SUITE 203, HOLT, MI 48842-2143
(517) 709-4677
(517) 798-5667
Mailing address
2380 CEDAR ST, SUITE 203, HOLT, MI 48842-2143
(517) 709-4677
(517) 798-5667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
03/03/2021
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