Organization
ROCK REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALLIL IBRAHIM KAZAN DC (PRESIDENT)
(313) 652-1000
Entity
Organization
Contact information
Practice address
13702 MICHIGAN AVE, DEARBORN, MI 48126-3520
(313) 985-1600
Mailing address
13702 MICHIGAN AVE, DEARBORN, MI 48126-3520
(313) 985-1600
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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