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Organization

ADEQUATE PHYSICAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAIDAR HAZIME (OWNER)
(313) 646-5034
Entity
Organization

Contact information

Practice address
2355 FORT ST, LINCOLN PARK, MI 48146-2464
(313) 724-7670
Mailing address
2355 FORT ST, LINCOLN PARK, MI 48146-2464
(313) 724-7670

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
09/27/2013
Last updated
09/27/2013
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