Organization
ELITE REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY GUSHO PT (PHYSICAL THERAPIST)
(586) 755-4711
Entity
Organization
Contact information
Practice address
2449 E. 12 MILE, WARREN, MI 48092
(586) 755-4711
(586) 755-7211
Mailing address
2449 E. 12 MILE RD., WARREN, MI 48092
(586) 755-4711
(586) 755-7211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
L475728
MI
225100000X
Physical Therapist
L537632
MI
Other
Enumeration date
03/15/2006
Last updated
11/18/2009
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