Provider First Line Business Practice Location Address:
15855 19-MILE ROAD
Provider Second Line Business Practice Location Address:
REHAB SERVICES, 4TH FLOOR, SOUTH TOWER
Provider Business Practice Location Address City Name:
CLINTON TWP.
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48038
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-263-2489
Provider Business Practice Location Address Fax Number:
586-263-2168
Provider Enumeration Date:
04/27/2018