# ST VINCENT REHAB SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Vincent Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679113971
- **Authorized official:** CHERRY CATRAL (OWNER)
- **Authorized official phone:** (586) 556-6550

## Contact information

- **Practice address:** 14141 LAKESIDE BLVD N, SHELBY TOWNSHIP, MI 48315-6075
- **Practice address phone:** (586) 635-4813
- **Mailing address:** 14141 LAKESIDE BLVD N, SHELBY TOWNSHIP, MI 48315-6075

## Taxonomy

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

## Other

- **Enumeration date:** 01/14/2020
- **Last updated:** 01/14/2020