Organization
PHYSICAL REHAB SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANIYA FOSTER (OWNER)
(313) 613-7271
Entity
Organization
Contact information
Practice address
21700 GREENFIELD RD STE 213, OAK PARK, MI 48237-2888
(248) 677-3261
Mailing address
21700 GREENFIELD RD STE 213, OAK PARK, MI 48237-2888
(248) 677-3261
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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