Adl Rehabilitation

NPI #1255595963 in Springfield, Michigan

Provider Information

NPI Number: 1255595963
Entity Type: Organization
Organization Name: Adl Rehabilitation
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 11, 2008
Last Updated: Jul 11, 2008

Practice Location

Address: 565 GENERAL AVE
Address 2: SUITE A
City: Springfield
State: Michigan
ZIP Code: 49037-7553
Phone: (269) 568-5683

Authorized Official

Name: MR. CHRISTIAN M PETROVICH, MS OTR
Title: MANAGING MEMBER
Phone: (269) 568-5683

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Speech-Language Pathologist	235Z00000X
Occupational Therapist	225X00000X	Primary

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