Organization
KINETIC REHABILITATION INC.
Active
Parent organization
KINETIC REHABILITATION INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KINETIC REHABILITATION INC.
Authorized official
ANDREA KONJA DPT (PRESIDENT)
(248) 722-1617
Entity
Organization
Contact information
Practice address
22180 PONTIAC TRL, SOUTH LYON, MI 48178-9097
(248) 446-0155
Mailing address
9865 LAPHAM WAY, PLYMOUTH, MI 48170-5854
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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