# PREFERRED REHAB CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114437159
- **Authorized official:** MONIQUE ANN HATCHINSON (DIRECTOR)
- **Authorized official phone:** (586) 883-9970

## Contact information

- **Practice address:** 5659 E 13 MILE RD, WARREN, MI 48092
- **Practice address phone:** (586) 883-9970
- **Practice address fax:** (586) 883-7550
- **Mailing address:** 5657 E 13 MILE RD, WARREN, MI 48092-1511
- **Mailing address phone:** (586) 883-9970
- **Mailing address fax:** (586) 883-7550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/04/2017
- **Last updated:** 06/05/2018