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Organization

PERFORMANCE REHAB INC

Active
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Organization

PERFORMANCE REHAB INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SANJAY THAKRAL RPT (OWNER THERAPIST)
(313) 359-9595
Entity
Organization

Contact information

Practice address
8565 N SILVERY LN, SUITE 401, DEARBORN HEIGHTS, MI 48127-4517
(313) 359-9595
(313) 359-9585
Mailing address
PO BOX 703207, PLYMOUTH, MI 48170-0994
(313) 359-9595
(313) 359-9585

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006790
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4968677
MI
01
650H230480
BCBC BCN
MI
01
7505869
AETNA
MI
01
DN5971
RAILROAD MEDICARE GROUP
MI
Enumeration date
12/05/2006
Last updated
06/20/2023
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