Organization
BERKLEY KIDS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY EVANS (OWNER/DIRECTOR)
(248) 629-4696
Entity
Organization
Contact information
Practice address
25595 COOLIDGE HWY, OAK PARK, MI 48237-1306
(248) 629-4696
Mailing address
25595 COOLIDGE HWY, OAK PARK, MI 48237-1306
(248) 629-4696
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
09/10/2024
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