Organization
GREENREHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELANGHOVAN VELU KOVOOR (OWNER)
(248) 979-0956
Entity
Organization
Contact information
Practice address
6481 RUTLEDGE PARK DR, WEST BLOOMFIELD, MI 48322-2458
(248) 979-0956
(989) 865-0406
Mailing address
6481 RUTLEDGE PARK DR, WEST BLOOMFIELD, MI 48322-2458
(248) 979-0956
(989) 865-0406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004961
MI
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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