Individual ProviderJoel JovenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2050 N Haggerty Rd, Suite 280, Canton, MI 48187-3795(734) 844-0800PECOS EnrollmentBased on the most recent information from CMS, provider Joel Joven does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1053592915Provider TypeIndividualFull NameJoven, JoelGenderMaleSole ProprietorNoEnumeration Date11/20/2007Last Updated11/20/2007Contact InformationPractice LocationPractice Address2050 N Haggerty Rd, Suite 280, Canton, MI 48187-3795Phone(734) 844-0800FaxUnlisted FaxMailing LocationMailing Address2050 N Haggerty Rd, Suite 280, Canton, MI 48187-3795Phone(734) 844-0800FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5501005286MichiganProvider IdentifiersIDDescriptionIssuerIDN20230005DescriptionOtherIssuerMEDICARE INDIVIDUAL NO.MichiganID0N20230DescriptionOtherIssuerMEDICARE GR. NO.Michigan