Organization
AXXESS REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CINOL JOHN (MANAGER)
(248) 733-5496
Entity
Organization
Contact information
Practice address
15700 PROVIDENCE DR APT 400, SOUTHFIELD, MI 48075-3127
(248) 733-5496
Mailing address
15700 PROVIDENCE DR APT 400, SOUTHFIELD, MI 48075-3127
(248) 733-5496
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
F0213J
MI
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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