Organization
CASCADE PHYSICAL THERAPY & REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJEEV THAMMAN MHS OTR (VICE PRESIDENT)
(616) 942-0922
Entity
Organization
Contact information
Practice address
4930 CASCADE RD SE STE E, GRAND RAPIDS, MI 49546-3884
(616) 942-0922
Mailing address
4930 CASCADE RD SE STE E, GRAND RAPIDS, MI 49546-3884
(616) 942-0922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MI
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/15/2008
Last updated
08/09/2016
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