Individual
LAUREN REKUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
22950 NORTHLINE RD, TAYLOR, MI 48180-4696
(734) 287-1230
Mailing address
16896 ASPEN WAY, SOUTHGATE, MI 48195-3920
(313) 378-5632
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000639
MI
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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