Organization
FAMILY MEDICAL REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SEANICE MONE WADDELL (OWNER)
(248) 496-5773
Entity
Organization
Contact information
Practice address
21999 FARMINGTON RD, FARMINGTON, MI 48336-4400
(248) 496-5773
Mailing address
21999 FARMINGTON RD, FARMINGTON, MI 48336-4400
(248) 496-5773
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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