Organization
PULSE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMAR AMIR GHOSN (MANAGER)
(313) 903-5151
Entity
Organization
Contact information
Practice address
15400 MICHIGAN AVE, DEARBORN, MI 48126-3491
(313) 903-5151
Mailing address
15400 MICHIGAN AVE STE 3, DEARBORN, MI 48126-3491
(313) 903-5151
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
10/17/2017
Last updated
12/09/2017
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