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Organization
PRIME REHAB AND PHYSICAL THERAPY INC
Active
Organization
PRIME REHAB AND PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUHAMMAD SADIQ (ADMINISTRATOR)
(313) 357-3079
Entity
Organization
Contact information
Practice address
2900 S FORT ST, STE 3, DETROIT, MI 48217-1061
(313) 388-0156
(313) 388-0593
Mailing address
7140 W FORT ST, STE 4, DETROIT, MI 48209-2917
(313) 357-3079
(313) 388-0593
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
06/16/2005
Last updated
03/07/2012
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