Organization
DEVINE PHYSICAL THERAPY AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. UCHE NWAGWU (DIRECTOR)
(313) 273-7188
Entity
Organization
Contact information
Practice address
16820 GREENFIELD RD, DETROIT, MI 48235-3703
(313) 273-7188
(313) 273-7228
Mailing address
16820 GREENFIELD RD, DETROIT, MI 48235-3703
(313) 273-7188
(313) 273-7228
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501005927
MI
225X00000X
Occupational Therapist
5201001527
MI
225X00000X
Occupational Therapist
Primary
5201004429
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30777
BCBS OF MI FACILITY ID#
MI
05
—
4380561
—
MI
Enumeration date
02/13/2007
Last updated
09/11/2025
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