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Organization
REHAB SPECIALISTS OF SOUTHFIELD
Active
Organization
REHAB SPECIALISTS OF SOUTHFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD BROCKEY PT (PHYSICAL THERAPIST)
(248) 353-7507
Entity
Organization
Contact information
Practice address
29355 NORTHWESTERN HWY, #200, SOUTHFIELD, MI 48034-1053
(248) 353-7507
Mailing address
4777 ATKINS RD, CLYDE, MI 48049-4507
(248) 353-7507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501001690
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501001690
LICENSE
MI
Enumeration date
05/17/2007
Last updated
08/22/2020
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