Organization
MED REHAB SERVICES, INC.
Active
Other names
Epic Rehab Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TOMS MATHEW PT (OWNER)
(248) 203-6636
Entity
Organization
Contact information
Practice address
32290 W 5 MILE RD, SUITE A, LIVONIA, MI 48154
(248) 203-6636
(248) 203-6634
Mailing address
32290 W 5 MILE RD, SUITE A, LIVONIA, MI 48154
(248) 203-6636
(248) 203-6634
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30420
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
09/11/2006
Last updated
08/22/2020
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