Organization
ST. MARY REHABILITATION SERVICES L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMIR NAGY NAWAR P.T. (PHYSICAL THERAPIST)
(586) 486-3636
Entity
Organization
Contact information
Practice address
42621 GARFIELD RD STE 102, CLINTON TWP, MI 48038-5031
(586) 838-2444
Mailing address
1580 CRIMSON DR, TROY, MI 48083-5505
(586) 486-3636
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F37607
BCBS
MI
01
—
6496720001
MEDICARE DME
MI
Enumeration date
08/01/2007
Last updated
03/28/2018
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