| Organization Name: | REHABONE-CENTER FOR ORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC |
| NPI Number: | 1053356907 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GERVACIO MARASIGAN LAQUI (PRESIDENT CEO) |
| Mailing Address: | 37300 Dequindre Rd Suite 300 Sterling Heights |
| State: | MI US |
| Postal Code: | 483103591 |
| Phone Number: | 5869832498 |
| Fax Number: | 5869832501 |
| NPI Enumeration Date: | 06/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 5501007799 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |