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Organization

MACOMB PHYSICAL THERAPY & REHAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISITNA ETANISLAO (BILLING MANAGER)
(248) 635-3413
Entity
Organization

Contact information

Practice address
14207 FORD RD, DEARBORN, MI 48126-3148
(248) 635-3413
Mailing address
14207 FORD RD, DEARBORN, MI 48126-3148

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary

Other

Enumeration date
01/05/2016
Last updated
01/05/2016
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