Organization
PREMIER PHYSICAL REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABLA SOUEIDAN (OWNER)
(313) 207-5767
Entity
Organization
Contact information
Practice address
26000 HOOVER RD STE 101, WARREN, MI 48089-1167
(313) 207-5767
Mailing address
529 N GULLEY RD, DEARBORN HTS, MI 48127-3453
(313) 207-5767
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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