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Organization

IVYREHAB MICHIGAN, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY GRIFFITHS (SR. DIRECTOR OF PROVIDER RELATIONS)
(914) 294-4050
Entity
Organization

Contact information

Practice address
400 ROUNDS DR, FENTON, MI 48430-1724
(810) 750-1996
(810) 750-6361
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
10/17/2017
Last updated
09/16/2025
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