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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