Organization
CUSTOM REHAB SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRED M HETHERWICK (PRESIDENT)
(517) 945-4980
Entity
Organization
Contact information
Practice address
8250 LOCKERBIE RD, PARMA, MI 49269-9335
(517) 740-8875
Mailing address
8250 LOCKERBIE RD, PARMA, MI 49269-9335
(517) 740-8875
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
1379518
MI
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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