# RENAISSANCE PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1396770400
- **Authorized official:** RAHAT MALIK (ADMINISTRATOR)
- **Authorized official phone:** (586) 775-5267

## Contact information

- **Practice address:** 30200 SCHOENHERR, WARREN, MI 48093
- **Practice address phone:** (586) 775-5267
- **Practice address fax:** (586) 775-2331
- **Mailing address:** 30020 SCHOENHERR, WARREN, MI 48093
- **Mailing address phone:** (586) 775-5267
- **Mailing address fax:** (586) 775-2331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 08/22/2020