Organization
PROFESSIONAL REHABILITATION SERVICES, INC.
Active
Other names
Rebound Physical Therapy & Occupational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRISTIAN SKOGEN (PRESIDENT)
(616) 202-4840
Entity
Organization
Contact information
Practice address
2211 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-9802
(616) 202-4840
Mailing address
4234 CASCADE RD SE, GRAND RAPIDS, MI 49546-8384
(616) 202-4840
(888) 371-9170
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30664
BLUE CROSS BLUESHEILD OF
MI
Enumeration date
03/19/2007
Last updated
02/08/2021
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