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Organization
METRO-STRENGTH PERFORMANCE REHAB
Active
Organization
METRO-STRENGTH PERFORMANCE REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRIK FAUNT PT (OWNER)
(313) 240-9700
Entity
Organization
Contact information
Practice address
1325 E 11 MILE RD, ROYAL OAK, MI 48067-2051
(313) 240-9700
Mailing address
1325 E 11 MILE RD, ROYAL OAK, MI 48067-2051
(313) 240-9700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922664341
BLUECROSS
MI
Enumeration date
06/27/2022
Last updated
06/27/2022
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