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Organization
HAMTRAMCK PHYSICAL THERAPHY AND REHAB SERVICES, INC.
Active
Organization
HAMTRAMCK PHYSICAL THERAPHY AND REHAB SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN SAN TOS (ADMINISTRATOR)
(248) 552-0283
Entity
Organization
Contact information
Practice address
20755 GREENFIELD RD, SUITE 803, SOUTHFIELD, MI 48075-5403
(248) 552-0283
(248) 552-0576
Mailing address
20755 GREENFIELD RD, SUITE 803, SOUTHFIELD, MI 48075-5403
(248) 552-0283
(248) 552-0576
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
236789
MI
305R00000X
Preferred Provider Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236789
PROVIDER NUMBER (MEDICARE
MI
Enumeration date
04/19/2006
Last updated
09/24/2007
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