Organization
JDR74 HOLDINGS, LLC
Active
Other names
5 Star Physical Therapy Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN MATTHEW RABORN PT (PHYSICAL THERAPIST)
(517) 449-7173
Entity
Organization
Contact information
Practice address
13060 S US HIGHWAY 27 STE C4, DEWITT, MI 48820-9319
(517) 449-7173
Mailing address
13060 S US HIGHWAY 27 STE C4, DEWITT, MI 48820-9319
(517) 449-7173
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014355
MI
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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