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Organization
WEST MICHIGAN COMMUNITY-BASED REHABILITATION LLC
Active
Organization
WEST MICHIGAN COMMUNITY-BASED REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON POTVIN DPT (PHYSICAL THERAPIST)
(248) 672-6308
Entity
Organization
Contact information
Practice address
8729 BENTHAM CT, ROCKFORD, MI 49341-8199
(248) 672-6308
Mailing address
8729 BENTHAM CT, ROCKFORD, MI 49341-8199
(248) 672-6308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
10/18/2024
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