Organization
PROFESSIONAL CARE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THIRUPATHI REDDY ALLALA (RPT)
(813) 476-1780
Entity
Organization
Contact information
Practice address
17707 FENKELL ST, DETROIT, MI 48227-1513
(813) 476-1780
Mailing address
2155 N LOVINGTON DR APT 207, TROY, MI 48083-5804
(813) 476-1780
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501014432
MI
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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