Organization
SUPERIOR PHYSICAL THERAPY AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM HAKKI MD (CHAIRMAN)
(727) 422-4680
Entity
Organization
Contact information
Practice address
27789 MOUND RD STE 100, WARREN, MI 48092-2697
(309) 569-1395
Mailing address
PO BOX 880, STERLING HEIGHTS, MI 48311-0880
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
04/30/2021
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