Organization
MONROEREHABCONNECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAROSLAW ANDRZEJ LATALA PT (SINGLE MEMBEROWNER)
(734) 242-0101
Entity
Organization
Contact information
Practice address
1038 N MONROE ST, MONROE, MI 48162-3113
(734) 242-0101
Mailing address
1038 N MONROE ST, MONROE, MI 48162-3113
(734) 242-0101
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501004877
MI
Other
Enumeration date
05/22/2006
Last updated
04/04/2008
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