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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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