Organization
ALEXIS REHAB SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IKRAM UL HAQ RPT (ADMINISTRATOR)
(248) 443-7300
Entity
Organization
Contact information
Practice address
4045 W 13 MILE RD STE C, ROYAL OAK, MI 48073-6640
(248) 583-5340
(248) 565-8213
Mailing address
17700 NORTHLAND PARK CT, SUITE 1-A, SOUTHFIELD, MI 48075-4302
(248) 443-7300
(248) 424-9870
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30681
BCBS MI OUT-PT REHAB
MI
05
—
4696503-40
—
MI
Enumeration date
08/04/2006
Last updated
08/24/2023
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