Organization
ADVANCE PHYSICAL THERAPY AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD GAINES (REHABILITATON COORDINATOR)
(248) 291-5301
Entity
Organization
Contact information
Practice address
26017 GREENFIELD ROAD, SOUTHFIELD, MI 48075
(248) 291-5301
Mailing address
26017 GREENFIELD, SOUTHFIELD, MI 48075
(248) 291-5301
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
MI
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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