Organization
BACK TO LIFE THERAPY & REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI HASHEM (OWNER)
(313) 207-7036
Entity
Organization
Contact information
Practice address
21421 GODDARD RD, TAYLOR, MI 48180-4247
(313) 207-7036
Mailing address
21421 GODDARD RD, TAYLOR, MI 48180-4247
(313) 207-7036
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
12/05/2023
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