Organization
ST. MARY REHABILITATION SERVICES L.L.C
Active
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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