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General NPI Number Information
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NPI Number | 1972455707
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Entity Type | Organization
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Legal Business Name | THE REHAB MITTEN
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 43633 MICHIGAN AVE
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City | CANTON
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State | MI
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Zip | 48188-2516
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Country | US
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Telephone | 313-740-0448
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Fax |
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Provider Business Mailing Address
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Address Line | 7606 N GULLEY RD
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-3814
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | SONDOS IMAD JABER
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Credential | OTR/L
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Telephone | 313-740-0448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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