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Organization

IN HOME REHAB,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER KOVACEK (PHYSICAL THERAPIST/OWNER)
(586) 774-5774
Entity
Organization

Contact information

Practice address
18285 E 10 MILE RD, STE 100, ROSEVILLE, MI 48066-5802
(586) 774-5774
Mailing address
18285 E 10 MILE RD, STE 100, ROSEVILLE, MI 48066-5802
(586) 774-5774

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501001577
MI
225X00000X
Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DA9747
RAILROAD
MI
Enumeration date
06/04/2006
Last updated
07/20/2011
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