# IN HOME REHAB OF DICKINSON COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811015548
- **Authorized official:** CHERYL L CARLSON (OWNER)
- **Authorized official phone:** (906) 563-8920

## Contact information

- **Practice address:** N19748 TIMM'S LAKE ROAD, SUITE 1, NIAGARA, WI 54151
- **Practice address phone:** (906) 563-8920
- **Mailing address:** W3101 RIDGECREST RD., VULCAN, MI 49892
- **Mailing address phone:** (906) 563-8920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 5501003532 | MI | Yes |
| 225X00000X | Occupational Therapist | 5201002404 | MI | — |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 10/11/2007