Organization
DIVINE REHAB SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONY THOMAS RPT (PHYSICAL THERAPIST)
(248) 825-9506
Entity
Organization
Contact information
Practice address
35450 DEQUINDRE RD, SUITE 106, STERLING HEIGHTS, MI 48310-4810
(248) 835-9506
Mailing address
35450 DEQUINDRE RD, SUITE 106, STERLING HEIGHTS, MI 48310-4810
(248) 835-9506
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
5501010148
MI
261QP2000X
Physical Therapy Clinic/Center
5501010166
MI
261QP2000X
Physical Therapy Clinic/Center
5501012722
MI
261QP2000X
Physical Therapy Clinic/Center
Primary
5501014058
MI
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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