Organization
MED REHAB SERVI ES INC
Active
Other names
Epic Rehab,Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM MATHEW PT (PRESIDENT)
(734) 432-1700
Entity
Organization
Contact information
Practice address
37463 SCHOOLCRAFT RD, LIVONIA, MI 48150-1007
(734) 432-1700
(734) 266-7100
Mailing address
37463 SCHOOLCRAFT RD, LIVONIA, MI 48150-1007
(734) 432-1700
(734) 266-7100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30083
BCBS
MI
01
—
30420
BCBS
MI
Enumeration date
08/29/2006
Last updated
04/22/2013
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