Organization
ADL REHABILITATION
Active
Organization
ADL REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN M PETROVICH MS OTR (MANAGING MEMBER)
(269) 568-5683
Entity
Organization
Contact information
Practice address
565 GENERAL AVE, SUITE A, SPRINGFIELD, MI 49037-7553
(269) 568-5683
(866) 303-9355
Mailing address
565 GENERAL AVE, SUITE A, SPRINGFIELD, MI 49037-7553
(269) 568-5683
(866) 303-9355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501007813
MI
225X00000X
Occupational Therapist
Primary
5201006389
MI
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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