Organization
DYNAMIC REHAB SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA MANZUR RPT (OWNER)
(248) 727-4322
Entity
Organization
Contact information
Practice address
16904 W WARREN AVE, DETROIT, MI 48228-3505
(313) 945-5926
(734) 451-0603
Mailing address
34909 BUNKER HILL DR, FARMINGTON HILLS, MI 48331-3285
(248) 727-4322
(734) 451-0603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006945
MI
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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