Organization
GREAT LAKES NEURO-REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAY JANEL LANDENBERG MOT, OTR (PRESIDENT)
(810) 625-0785
Entity
Organization
Contact information
Practice address
2237 WESTERN MEADOWS DR, FLUSHING, MI 48433-9412
(810) 625-0785
Mailing address
2237 WESTERN MEADOWS DR, FLUSHING, MI 48433-9412
(810) 625-0785
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004988
MI
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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