Organization
PRACTICAL REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA MARIE LAKE MA-CCC-SLP (OWNER)
(517) 282-7779
Entity
Organization
Contact information
Practice address
124 E WASHINGTON ST STE C, DEWITT, MI 48820-8826
(855) 777-9297
(517) 394-3604
Mailing address
PO BOX 794, OKEMOS, MI 48805-0794
(517) 282-7779
(517) 394-3604
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/04/2010
Last updated
02/19/2024
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