# REHAB PHYSICIANS OF METRO DETROIT

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

## Provider details

- **NPI number:** 1508244567
- **Authorized official:** MISS JACQUELINE GABBANA-JAN (OWNER)
- **Authorized official phone:** (313) 618-0226

## Contact information

- **Practice address:** 22972 LAHSER RD, SOUTHFIELD, MI 48033-4408
- **Practice address phone:** (313) 618-0226
- **Practice address fax:** (248) 809-6566
- **Mailing address:** 22972 LAHSER RD, SOUTHFIELD, MI 48033-4408
- **Mailing address phone:** (313) 618-0226
- **Mailing address fax:** (248) 809-6566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2015
- **Last updated:** 05/11/2015
