Organization
INTEGRATIVE REHABILITATION MEDICAL LLC
Active
Other names
Integrative Recovery, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TODD PAUL O'DELL (OWNER/OPERATOR)
(616) 690-2424
Entity
Organization
Contact information
Practice address
3012 LAKE WASHINGTON RD, MELBOURNE, FL 32934-7613
(616) 690-2424
(616) 825-6139
Mailing address
1515 MICHIGAN ST NE STE 115, GRAND RAPIDS, MI 49503-2031
(616) 690-2424
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
08/03/2022
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