Organization
LOURDES PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHASSAN SLEWA (OWNER)
(248) 591-4091
Entity
Organization
Contact information
Practice address
704 E 9 MILE RD, HAZEL PARK, MI 48030-1841
(248) 549-4091
Mailing address
704 E 9 MILE RD, HAZEL PARK, MI 48030-1841
(248) 549-4091
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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