Organization
VIVID REHAB INC
Active
Organization
VIVID REHAB INC
Active
Other names
VIVID REHAB INC
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE ATAT (OWNER)
(313) 707-2686
Entity
Organization
Contact information
Practice address
12830 FORD RD STE C, DEARBORN, MI 48126-3350
(313) 406-3832
(313) 406-3716
Mailing address
12830 FORD RD STE C, DEARBORN, MI 48126-3350
(313) 406-3832
(313) 406-3716
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501014578
MI
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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