Organization
A ONE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN THOMAS (OWNER)
(248) 595-8742
Entity
Organization
Contact information
Practice address
24315 NORTHWESTERN HWY STE 1, SOUTHFIELD, MI 48075-6815
(248) 595-8742
Mailing address
24315 NORTHWESTERN HWY STE 1, SOUTHFIELD, MI 48075-6815
(248) 595-8742
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MI
Enumeration date
07/27/2020
Last updated
07/27/2020
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