Organization
BLUESKY REHABILITATION THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIN EDMUND NOWAK MPT (OWNER/THERAPIST)
(248) 515-9903
Entity
Organization
Contact information
Practice address
3058 N STATE RD STE E, DAVISON, MI 48423-3508
(810) 652-6315
(810) 652-6213
Mailing address
1151 CLEARVIEW DR, OXFORD, MI 48371-5977
(248) 515-9903
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/28/2023
Last updated
05/31/2024
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