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Organization

REHAB DIMENSIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID TIESENGA (CFO)
(616) 235-5035
Entity
Organization

Contact information

Practice address
2100 RAYBROOK ST SE, SUITE 300, GRAND RAPIDS, MI 49546-7759
(616) 235-5000
(616) 235-5059
Mailing address
2100 RAYBROOK ST SE, SUITE 300, GRAND RAPIDS, MI 49546-7759
(616) 235-5000
(616) 235-5059

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
05/19/2006
Last updated
03/10/2016
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