Organization
ALPHA PHYSICAL THERAPY & REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARAK CHARARA (OWNER)
(313) 400-0063
Entity
Organization
Contact information
Practice address
2127 15 MILE RD, STERLING HEIGHTS, MI 48310-4835
(313) 400-0063
Mailing address
PO BOX 71821, MADISON HEIGHTS, MI 48071-0821
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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