Organization
PROFESSIONAL REHABILITATION SERVICES, INC.
Active
Other names
Rebound Physical Therapy and Occupational Therapy, Rebound Home and Community Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRISTIAN SKOGEN (CEO)
(616) 202-4840
Entity
Organization
Contact information
Practice address
2211 E BELTLINE AVE NE STE C, GRAND RAPIDS, MI 49525-9802
(616) 202-4840
Mailing address
4234 CASCADE RD SE, GRAND RAPIDS, MI 49546-8384
(616) 464-1117
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/25/2017
Last updated
03/01/2021
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