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Organization

DMC REGIONAL REHABILITATION CENTER CO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SNEHALBEN CHAUDHARI PT (CEO)
(248) 910-1872
Entity
Organization

Contact information

Practice address
18000 W 9 MILE RD # 395, SOUTHFIELD, MI 48075-4009
(248) 910-1872
Mailing address
24515 KINGS POINTE, NOVI, MI 48375-2715
(248) 910-1872

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5501017634
PHYSICAL THERAPY LICENSE
MI
01
5501017634
MICHIGAN STATE
Enumeration date
11/23/2021
Last updated
12/08/2021
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