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Organization
QC REHABILATION CENTER
Active
Organization
QC REHABILATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORINA L MALONE (AUTHORIZED OFFICIAL)
(313) 574-8205
Entity
Organization
Contact information
Practice address
19953 CONANT ST, DETROIT, MI 48234-1334
(313) 368-0005
Mailing address
19953 CONANT ST, DETROIT, MI 48234-1334
(313) 368-0005
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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