Organization
JACKSON REHAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAREEN CHALLAPALLI (OWNER)
(248) 884-3824
Entity
Organization
Contact information
Practice address
1925 SPRINGPORT RD APT 2, JACKSON, MI 49202-1466
(248) 884-3824
Mailing address
1925 SPRINGPORT RD APT 2, JACKSON, MI 49202-1466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
08/14/2023
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