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Organization

EVOLVE REHAB PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMED RAYCHOUNI DC (MEMBER)
(313) 483-6002
Entity
Organization

Contact information

Practice address
6256 N TELEGRAPH RD, DEARBORN HEIGHTS, MI 48127-3223
(313) 483-6002
Mailing address
6256 N TELEGRAPH RD, DEARBORN HEIGHTS, MI 48127-3223

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
225100000X
Physical Therapist
Primary
225700000X
Massage Therapist

Other

Enumeration date
12/10/2025
Last updated
12/10/2025
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