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Organization
WILLOWBROOK REHABILITATION SERVICES, LLC
Active
Organization
WILLOWBROOK REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA VAN ACKER (PROGRAM DIRECTOR)
(810) 227-0119
Entity
Organization
Contact information
Practice address
7200 CHALLIS RD, BRIGHTON, MI 48116-7411
(810) 227-0119
(810) 227-0801
Mailing address
7200 CHALLIS RD, BRIGHTON, MI 48116-7411
(810) 227-0119
(810) 227-0801
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225800000X
Recreation Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30623
PROVIDER NUMBER
MI
Enumeration date
02/22/2007
Last updated
12/22/2020
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