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Organization
NORTHVILLE PHYSICAL REHABILITATION, P.C.
Active
Organization
NORTHVILLE PHYSICAL REHABILITATION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS E. ENGERER (DIRECTOR)
(248) 349-9339
Entity
Organization
Contact information
Practice address
215 E MAIN ST, SUITE B, NORTHVILLE, MI 48167-1681
(248) 349-9339
(248) 349-9342
Mailing address
215 E MAIN ST, SUITE B, NORTHVILLE, MI 48167-1681
(248) 349-9339
(248) 349-9342
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002317
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N58620
HAP
MI
01
—
16869
PARTNERSHIP HEALTH
MA
01
—
16869
MCARE
MI
01
—
500573
CARE CHOICES
MI
01
—
7543420
AETNA PIN
MI
01
—
OH20094
BCBS
MI
01
—
P00100555
MEDICARE RAILROAD
MI
Enumeration date
11/27/2006
Last updated
09/03/2024
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