# UNION LAKE PHYSICAL REHABILITATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437429370
- **Authorized official:** STEFAN NEDELEA PHYSICAL THERAPIST (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (248) 593-8677

## Contact information

- **Practice address:** 2455 UNION LAKE RD, COMMERCE TWP, MI 48382
- **Practice address phone:** (248) 242-6025
- **Mailing address:** 2455 UNION LAKE RD, COMMERCE TWP, MI 48382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 5501002317 | MI | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 5501008896 | MI | — |

## Other

- **Enumeration date:** 01/10/2012
- **Last updated:** 01/10/2012