Healthcare Provider Details

I. General information

NPI: 1457412132
Provider Name (Legal Business Name): MICHIGAN REHABILITATION SPECIALISTS OF HARTLAND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 08/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10860 HIGHLAND RD
HARTLAND MI
48353-2629
US

IV. Provider business mailing address

10860 HIGHLAND RD
HARTLAND MI
48353-2629
US

V. Phone/Fax

Practice location:
  • Phone: 810-632-1000
  • Fax:
Mailing address:
  • Phone: 810-632-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: FRANKLIN J ROOKS JR.
Title or Position: COO
Credential:
Phone: 810-231-6904