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Organization
MICHIGAN ORTHOPEDIC REHAB
Active
Organization
MICHIGAN ORTHOPEDIC REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE CARSON PT (DIRECTOR, PT)
(248) 625-6400
Entity
Organization
Contact information
Practice address
7164 N MAIN ST, CLARKSTON, MI 48346-1569
(248) 625-6400
(248) 625-6006
Mailing address
7164 N MAIN ST, CLARKSTON, MI 48346-1569
(248) 625-6400
(248) 625-6006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501010511
MI
225100000X
Physical Therapist
Primary
5501300664
MI
Other
Enumeration date
04/19/2007
Last updated
06/20/2012
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