# MERCY PHYSICAL THERAPY AND REHABILITATION

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

## Provider details

- **NPI number:** 1508914797
- **Authorized official:** GAFFAR KHAN (ADMINISTRATOR)
- **Authorized official phone:** (586) 977-7833

## Contact information

- **Practice address:** 31690 HOOVER RD, SUITE \#101, WARREN, MI 48093-7653
- **Practice address phone:** (586) 977-7833
- **Practice address fax:** (586) 977-7831
- **Mailing address:** 31690 HOOVER RD, SUITE \#101, WARREN, MI 48093-7653
- **Mailing address phone:** (586) 977-7833
- **Mailing address fax:** (586) 977-7831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | — | NULL | Yes |
| 225400000X | Rehabilitation Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2007
- **Last updated:** 08/22/2020