Organization
DIVINE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HITESH V KHATRI (PHYSICAL THERAPIST)
(248) 854-0250
Entity
Organization
Contact information
Practice address
3741 MCDOUGALL ST, SUITE 3, DETROIT, MI 48207-2345
(313) 267-1615
(313) 579-1354
Mailing address
3741 MCDOUGALL ST, SUITE 3, DETROIT, MI 48207-2345
(313) 267-1615
(313) 579-1354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501008375
MI
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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