Organization
PRIMARY REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARICARMEN RAMIREZ (OFFICE MANAGER)
(616) 245-7013
Entity
Organization
Contact information
Practice address
2055 28TH ST SE STE 7, GRAND RAPIDS, MI 49508
(616) 245-7013
(616) 245-7018
Mailing address
2055 28TH ST SE STE 7, GRAND RAPIDS, MI 49508-1582
(616) 245-7013
(616) 245-7018
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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