Organization
IN HOME REHAB OF DICKINSON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL L CARLSON P.T. (OWNER)
(906) 563-8920
Entity
Organization
Contact information
Practice address
W3101 RIDGECREST DR, VULCAN, MI 49892-8290
(906) 563-8920
(906) 563-8942
Mailing address
PO BOX 163, LORETTO, MI 49852-0163
(906) 563-8920
(906) 563-8942
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650B210460
BCBS
MI
01
—
DE7826
RAILROAD
MI
Enumeration date
05/11/2006
Last updated
07/14/2008
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