Healthcare Provider Details

I. General information

NPI: 1851903116
Provider Name (Legal Business Name): VRC REHABILITATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2020
Last Update Date: 08/18/2020
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23525 M 32 W
HILLMAN MI
49746-9713
US

IV. Provider business mailing address

PO BOX 11
HERRON MI
49744-0011
US

V. Phone/Fax

Practice location:
  • Phone: 989-742-2773
  • Fax: 989-742-2774
Mailing address:
  • Phone: 989-657-3267
  • Fax: 989-742-2774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RAJABHAU MAHADEORAO CHHAPAMOHAN
Title or Position: OWNER
Credential: DPT, PT
Phone: 989-657-3267