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Individual

CHERYL REW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
50475 GRATIOT AVE, SUITE B, CHESTERFIELD, MI 48051-3128
(586) 598-0050
(586) 598-1804
Mailing address
50475 GRATIOT AVE, SUITE B, CHESTERFIELD, MI 48051-3128
(586) 598-0050
(586) 598-1804

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002972
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
236576
MEDICARE PROVIDER NUMBER
MI
Enumeration date
04/14/2016
Last updated
04/14/2016
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