Organization
GREAT LAKES REHABILITATION LLC
Active
Organization
GREAT LAKES REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIMPLE AGGARWAL OTR,CLT (PRESIDENT)
(248) 982-2320
Entity
Organization
Contact information
Practice address
34914 VALLEY FORGE DR, FARMINGTON HILLS, MI 48331-4614
(248) 982-2320
Mailing address
34914 VALLEY FORGE DR, FARMINGTON HILLS, MI 48331-4614
(248) 982-2320
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000642
MI
Other
Enumeration date
09/01/2007
Last updated
09/01/2007
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