Most Relevant Information
Provider Data
  | NPI Number: | 1003366105 | 
| Provider Name: | RIHAB MUSA | 
| Entity Type: | Individual | 
| Taxonomy Code: | 106S00000X | 
| Specialty: | Behavior Technician | 
| License Number: | 
Most Important Dates
  | Enumeration Date: | 10/12/2016 | 
| Last Updated: | 10/12/2016 | 
Provider Practice Location
  1617 E MILHAM AVE
      
      PORTAGE
      MI
      490023049
  Practice Location Phone/Fax
      | Phone: | 2693035931 | 
| Fax: | 
Provider Mailing Location
  1617 E MILHAM AVE
      
      PORTAGE
      MI
      490023049
  Provider Mailing Phone/Fax
      | Phone: | 2693035931 | 
| Fax: |