Organization
MARINA PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAREK CHARARA (OWNER)
(313) 400-0063
Entity
Organization
Contact information
Practice address
17515 W 9 MILE RD STE 180, SOUTHFIELD, MI 48075-4400
(313) 400-0063
Mailing address
17515 W 9 MILE RD STE 180, SOUTHFIELD, MI 48075-4400
(313) 400-0063
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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