Organization
HAMTRAMCK PHYSICAL THERAPHY AND REHAB SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN SAN TOS (ADMINISTRATOR)
(248) 552-0283
Entity
Organization
Contact information
Practice address
20755 GREENFIELD RD, SUITE 803, SOUTHFIELD, MI 48075-5403
(248) 552-0283
(248) 552-0576
Mailing address
20755 GREENFIELD RD, SUITE 803, SOUTHFIELD, MI 48075-5403
(248) 552-0283
(248) 552-0576
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
236789
MI
305R00000X
Preferred Provider Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236789
PROVIDER NUMBER (MEDICARE
MI
Enumeration date
04/19/2006
Last updated
09/24/2007
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