Organization
FIRST REHAB PAIN MANAGEMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE N. B. (MEDICAL BILLER)
(313) 357-0292
Entity
Organization
Contact information
Practice address
5237 OAKMAN BLVD, DEARBORN, MI 48126-4045
(313) 581-7971
(313) 581-8028
Mailing address
PO BOX 1406, DEARBORN, MI 48121-1406
(313) 581-7971
(313) 581-8028
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
5501003394
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501003394
PHYSICAL THERAPY
MI
Enumeration date
01/22/2008
Last updated
02/07/2008
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