Organization
RENAISSANCE REHABILITATION ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL M PHILLIPS (CEO)
(269) 377-5594
Entity
Organization
Contact information
Practice address
4460 SWEET CHERRY LN, KALAMAZOO, MI 49004-3725
(269) 377-5594
(269) 344-8991
Mailing address
4460 SWEET CHERRY LN, KALAMAZOO, MI 49004-3725
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006390
MI
363A00000X
Physician Assistant
5601004162
MI
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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