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Organization
REHABILITATION SPECIALISTS OF LIVINGSTON COUNTY, INC.
Active
Organization
REHABILITATION SPECIALISTS OF LIVINGSTON COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY PUTVIN PT (CEO, PHYSICAL THERAPIST)
(810) 923-2361
Entity
Organization
Contact information
Practice address
27427 SCHOENHERR RD, SUITE 200, WARREN, MI 48088-4729
(586) 757-9311
(586) 757-9401
Mailing address
27427 SCHOENHERR RD, SUITE 200, WARREN, MI 48088-4729
(586) 757-9311
(586) 757-9401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501001469
MI
235Z00000X
Speech-Language Pathologist
00078683
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30638
BCBSM
MI
Enumeration date
02/27/2007
Last updated
10/05/2007
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