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Organization
PORT HURON THERAPY CENTER LLC
Active
Organization
PORT HURON THERAPY CENTER LLC
Active
Other names
Midwest Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUHAMMAD ZAFAR (PRESIDENT / CEO)
(810) 385-9808
Entity
Organization
Contact information
Practice address
34051 GRATIOT AVE, SUITE 103, CLINTON TOWNSHIP, MI 48035-3592
(810) 385-9808
(586) 415-7800
Mailing address
34051 GRATIOT AVE, SUITE 103, CLINTON TOWNSHIP, MI 48035-3592
(810) 385-9808
(586) 415-7800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
MI
385H00000X
Respite Care
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137801
CARE CHOICES PPO
MI
05
—
142585
—
MI
01
—
234528
HEALTH ALLIANCE PLAN
MI
05
—
30322
—
MI
01
—
30426
BLUE CROSS BLUE SHIELD
MI
05
—
4704356
—
MI
01
—
5135045
CIGNA PPO
MI
Enumeration date
05/19/2006
Last updated
01/30/2013
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