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Organization

MIDWEST PHYSICAL THERAPY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANSOOR HAROON PTA (ADMINISTRATOR OWNER)
(734) 730-0062
Entity
Organization

Contact information

Practice address
2220 TELEGRAPH RD, DEARBORN, MI 48128
(734) 730-0062
(734) 730-2152
Mailing address
2220 TELEGRAPH RD, DEARBORN, MI 48128
(734) 730-0062
(734) 730-2152

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
71010000030767
BCBS
MI
Enumeration date
06/24/2006
Last updated
08/22/2020
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