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Organization
SUBLIME PHYSICAL THERAPY & REHAB SERVICES
Active
Organization
SUBLIME PHYSICAL THERAPY & REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED IRFAN HAIDER JILANI D.P.T. (PRESIDENT)
(313) 581-3200
Entity
Organization
Contact information
Practice address
13244 W WARREN AVE, SUITE 3, DEARBORN, MI 48126-1415
(313) 581-3200
(313) 581-9085
Mailing address
4937 SCHAEFER RD, DEARBORN, MI 48126-3251
(313) 945-9366
(313) 945-0070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006285
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OH25779
BCBS
MI
Enumeration date
12/08/2011
Last updated
12/08/2011
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