Organization
US PHYSICAL REHABILITATION LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOMAN SIDDIQUE MPT (OWNER)
(947) 282-8575
Entity
Organization
Contact information
Practice address
24901 NORTHWESTERN HWY, SUITE 113, SOUTHFIELD, MI 48075-2203
(947) 282-8575
Mailing address
24901 NORTHWESTERN HWY, SUITE 113, SOUTHFIELD, MI 48075-2203
(947) 282-8575
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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