Organization · NPI-2
Advance Physical Therapy And Rehab Center Of Michigan
Physical Therapist · Southfield, MI
NPI number1356024442
StatusActive
Last updated in NPPESAug 7, 2023
Details
- NPI
- 1356024442
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Physical Therapy And Rehab Center Of Michigan
- Organization subpart
- No
- Enumeration date
- Aug 7, 2023
- Certification date
- Aug 7, 2023
- Last updated
- Aug 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
26211 Central Park Blvd Ste 116Southfield, MI 48076-4107
Phone 248-291-7516
Mailing address
26211 Central Park Blvd Ste 116Southfield, MI 48076-4107
Phone 248-291-7516
Authorized official
Iram Q Tariq
Office Manager
2484823181
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