Organization
CASCADES ORTHOPEDIC REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALASUBRAMANIYAM PISUPATI PT (OWNER)
(517) 990-1242
Entity
Organization
Contact information
Practice address
3235 E MICHIGAN AVE, JACKSON, MI 49202-3971
(517) 990-1242
(517) 787-9680
Mailing address
3235 E MICHIGAN AVE, JACKSON, MI 49202-3971
(517) 990-1242
(517) 787-9680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007541
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4696791
—
MI
Enumeration date
04/24/2007
Last updated
09/20/2011
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