Organization
INTERSTATE REHAB INC
Active
Other names
Essenza Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
GERARDO B. CARBONELL DPT (ASSOCIATE)
(586) 530-7114
Entity
Organization
Contact information
Practice address
16910 W 10 MILE RD STE 101, SOUTHFIELD, MI 48075-2920
(734) 341-8068
Mailing address
16910 W 10 MILE RD STE 101, SOUTHFIELD, MI 48075-2920
(734) 341-8068
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2011
Last updated
10/30/2023
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