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Organization
MEDSTAR REHABILITATION INC.
Active
Organization
MEDSTAR REHABILITATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEERA INDER THAWANI (PRESIDENT)
(734) 844-0800
Entity
Organization
Contact information
Practice address
2050 N. HAGGERTY RD, SUITE 280, CANTON, MI 48187
(734) 844-0800
(734) 844-0808
Mailing address
2050 N. HAGGERTY RD, SUITE 280, CANTON, MI 48187
(734) 844-0800
(734) 844-0808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13468
MCARE
—
01
—
611600700
U.S. DEPARTMENT OF LABOR
—
01
—
CK4098
RAILROAD MEDICARE
—
Enumeration date
09/22/2006
Last updated
05/05/2014
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