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Organization
MOBILITY REHAB PLLC
Active
Organization
MOBILITY REHAB PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBIN T MARQUEZ P.T. (PRESIDENT CO-OWNER)
(269) 288-0257
Entity
Organization
Contact information
Practice address
229 NORTH AVENUE, BATTLE CREEK, MI 49017
(269) 288-0257
(269) 962-0439
Mailing address
PO BOX 2188, BATTLE CREEK, MI 49016-2188
(269) 288-0257
(269) 962-0439
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501007682
MI
225100000X
Physical Therapist
Primary
5501007813
MI
225X00000X
Occupational Therapist
5201002348
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007890689
AETNA
MI
01
—
35525
HEALTH PLAN OF MICHIGAN
MI
Enumeration date
12/05/2006
Last updated
10/08/2007
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