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Organization
MACOMB PHYSICAL THERAPY & REHAB LLC
Active
Organization
MACOMB PHYSICAL THERAPY & REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISITNA ETANISLAO (BILLING MANAGER)
(248) 635-3413
Entity
Organization
Contact information
Practice address
14207 FORD RD, DEARBORN, MI 48126-3148
(248) 635-3413
Mailing address
14207 FORD RD, DEARBORN, MI 48126-3148
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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