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Organization
MICHIGAN FIRST REHAB
Active
Organization
MICHIGAN FIRST REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN THOMAS DEHKO (OWNER)
(248) 882-0794
Entity
Organization
Contact information
Practice address
23350 GREENFIELD RD STE 101A, OAK PARK, MI 48237-2496
(248) 544-1600
(313) 366-6700
Mailing address
23350 GREENFIELD RD STE 101A, OAK PARK, MI 48237-2496
(248) 544-1600
(313) 366-6700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-4121279
AUTO
MI
Enumeration date
01/10/2019
Last updated
12/13/2019
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