Organization
NORTHWESTERN REHABILITATION SERVICES. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMS T VARGHESE RPT (REGISTERED PHYSICAL THERAPIST)
(248) 352-4984
Entity
Organization
Contact information
Practice address
23999 NORTHWESTERN HWY, SUITE 105, SOUTHFIELD, MI 48075-2578
(248) 352-4984
Mailing address
23999 NORTHWESTERN HWY, SUITE 105, SOUTHFIELD, MI 48075-2578
(248) 352-4984
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501014403
MI
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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