Organization
PARC REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN GASSO OT (MANAGING MEMBER)
(248) 915-8592
Entity
Organization
Contact information
Practice address
33060 NORTHWESTERN HWY STE 210A, WEST BLOOMFIELD, MI 48322-3695
(248) 915-8592
Mailing address
33060 NORTHWESTERN HWY STE 210A, WEST BLOOMFIELD, MI 48322-3695
(248) 915-8592
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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