# MASCOT MEDICAL CONSULTANTS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dynamic Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730325549
- **Authorized official:** LESTER JOSEPH MASCOT MD (PRESIDENT)
- **Authorized official phone:** (313) 534-0300

## Contact information

- **Practice address:** 1800 W BIG BEAVER RD, SUITE 150, TROY, MI 48084-3545
- **Practice address phone:** (248) 649-2323
- **Practice address fax:** (248) 649-5998
- **Mailing address:** 1800 W BIG BEAVER RD, SUITE 150, TROY, MI 48084-3545
- **Mailing address phone:** (248) 649-2323
- **Mailing address fax:** (248) 649-5998

## Taxonomy

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

## Other

- **Enumeration date:** 12/29/2008
- **Last updated:** 04/01/2009
