Organization
SUPERIOR PHYSICAL THERAPY
Active
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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