Organization
12 MILE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD S. AWAISI M.D. (OWNER)
(248) 968-2300
Entity
Organization
Contact information
Practice address
15600 W 12 MILE RD, SUITE A, SOUTHFIELD, MI 48076-3068
(248) 968-2300
Mailing address
15600 W 12 MILE RD, SUITE A, SOUTHFIELD, MI 48076-3068
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MI
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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