Organization
GENEX PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALLIL I. KAZAN (DIRECTOR)
(313) 228-5271
Entity
Organization
Contact information
Practice address
4953 SCHAEFER RD, DEARBORN, MI 48126-3260
(313) 228-5271
(313) 228-5274
Mailing address
4953 SCHAEFER RD, DEARBORN, MI 48126-3260
(313) 228-5271
(313) 228-5274
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501009827
MI
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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