# MICHIGAN REHABILITATION & PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1356420731
- **Authorized official:** MR. EJAZ CHAUDHRY PT (ADMINISTRATOR)
- **Authorized official phone:** (248) 569-9254

## Contact information

- **Practice address:** 24261 GREENFIELD RD, SUITE \# B, SOUTHFIELD, MI 48075-3117
- **Practice address phone:** (248) 569-9254
- **Mailing address:** 24261 GREENFIELD RD, SUITE \# B, SOUTHFIELD, MI 48075-3117
- **Mailing address phone:** (248) 569-9254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | 5501001299 | MI | Yes |

## Other

- **Enumeration date:** 11/04/2006
- **Last updated:** 08/22/2020