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Organization

A ONE REHAB LIMITED LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAJA R GOVINDARAJALU R.P.T. (OWNER)
(248) 722-1156
Entity
Organization

Contact information

Practice address
808 LIVERNOIS ST STE 100, FERNDALE, MI 48220-2309
(248) 722-1156
Mailing address
808 LIVERNOIS ST STE 100, FERNDALE, MI 48220-2309
(248) 722-1156

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
MI
Enumeration date
08/04/2021
Last updated
08/04/2021
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