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Organization

NEW CENTER REHABILITATION, INC

Active
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Organization

NEW CENTER REHABILITATION, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VICTOR JAYASUNDERA RPT (PARTNER)
(248) 905-5180
Entity
Organization

Contact information

Practice address
23100 PROVIDENCE DR, SUITE 135, SOUTHFIELD, MI 48075-3646
(248) 905-5180
Mailing address
23100 PROVIDENCE DR, SUITE 135, SOUTHFIELD, MI 48075-3646
(248) 905-5180

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005927
MI

Other

Enumeration date
07/01/2008
Last updated
07/01/2008
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