Organization
ROSTKER RECREATIONAL THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY MARK ROSTKER CTRS,MSA, CBIS (OWNER)
(248) 910-7425
Entity
Organization
Contact information
Practice address
1594 BEACHWOOD DR, WALLED LAKE, MI 48390-5881
(248) 910-7425
Mailing address
1594 BEACHWOOD DR, WALLED LAKE, MI 48390-5881
(248) 910-7425
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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