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Organization
WEST MICHIGAN REHABILITATION CENTER INC
Active
Organization
WEST MICHIGAN REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PASUPATHY VADIVELU BACHELOR DEGREE (ADMINISTRATOR)
(616) 249-3545
Entity
Organization
Contact information
Practice address
3181 PRAIRIE ST SW STE 102, GRANDVILLE, MI 49418-2076
(616) 249-3545
(616) 249-3549
Mailing address
3181 PRAIRIE ST SW STE 102, GRANDVILLE, MI 49418-2076
(616) 249-3545
(616) 249-3549
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006029
MI
Other
Enumeration date
08/04/2006
Last updated
08/22/2020
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