# UNIVERSAL REHAB & PAIN MANAGEMENT PLLC

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

## Provider details

- **NPI number:** 1750836946
- **Authorized official:** TASADAQ ALI AHMAD PT (PRESIDENT)
- **Authorized official phone:** (313) 477-9545

## Contact information

- **Practice address:** 901 W GRAND BLVD, SUITE 105, DETROIT, MI 48208-2353
- **Practice address phone:** (313) 477-9545
- **Practice address fax:** (313) 993-9007
- **Mailing address:** 901 W GRAND BLVD, SUITE 105, DETROIT, MI 48208-2353
- **Mailing address phone:** (313) 477-9545
- **Mailing address fax:** (313) 993-9007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2016
- **Last updated:** 08/18/2016