Organization
PHASE ONE REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK DAVIDSON (CEO)
(248) 626-3100
Entity
Organization
Contact information
Practice address
34119 W 12 MILE RD STE 160, FARMINGTON HILLS, MI 48331-3371
(248) 733-5022
Mailing address
29155 NORTHWESTERN HWY, SUITE 727, SOUTHFIELD, MI 48034-1011
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/10/2012
Last updated
05/05/2025
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