Organization
BREAKTHROUGH REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT A SMITH (OWNER)
(248) 707-9121
Entity
Organization
Contact information
Practice address
29116 FIVE MILE RD, LIVONIA, MI 48154-3850
(734) 666-5795
(734) 766-5797
Mailing address
29116 FIVE MILE RD, LIVONIA, MI 48154-3850
(734) 666-5795
(734) 766-5797
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9802
PHYSICAL THERAPY
MI
Enumeration date
04/03/2020
Last updated
04/03/2020
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