Organization
DERY REHABILITATION SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASIMIR A KILYANEK PT (VICE-PRESIDENT)
(616) 897-7055
Entity
Organization
Contact information
Practice address
901 W MAIN ST, LOWELL, MI 49331-1503
(616) 897-7055
(616) 897-7366
Mailing address
PO BOX 268, LOWELL, MI 49331-0268
(616) 897-7055
(616) 897-7366
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
MI
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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