# MTA PHYSICAL MEDICINE AND REHABILITATION, PLLC

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

## Provider details

- **NPI number:** 1841493228
- **Authorized official:** MICHAEL T ANDARY MD (OWNER)
- **Authorized official phone:** (517) 377-8252

## Contact information

- **Practice address:** 2727 S PENNSYLVANIA AVE, LANSING, MI 48910-3488
- **Practice address phone:** (517) 377-8252
- **Mailing address:** 1701 LAKE LANSING RD, SUITE 100, LANSING, MI 48912-3798
- **Mailing address phone:** (517) 485-0001

## Taxonomy

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

## Other

- **Enumeration date:** 06/06/2007
- **Last updated:** 03/24/2008