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Organization

SUPERIOR PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YASSER SOUHOUBA (MANAGER)
(248) 996-8158
Entity
Organization

Contact information

Practice address
27209 LAHSER RD STE 130, SOUTHFIELD, MI 48034-8401
(248) 996-8158
(248) 281-6339
Mailing address
27209 LAHSER RD STE 130, SOUTHFIELD, MI 48034-8401
(248) 996-8158
(248) 281-6339

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
05/03/2018
Last updated
05/03/2018
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