Organization
MICHIGAN REHABILITATION & PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EJAZ CHAUDHRY PT (ADMINISTRATOR)
(248) 569-9254
Entity
Organization
Contact information
Practice address
24261 GREENFIELD RD, SUITE # B, SOUTHFIELD, MI 48075-3117
(248) 569-9254
Mailing address
24261 GREENFIELD RD, SUITE # B, SOUTHFIELD, MI 48075-3117
(248) 569-9254
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
5501001299
MI
Other
Enumeration date
11/04/2006
Last updated
08/22/2020
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