Organization
ADVANCED REHABILITATION CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DANESHVAR RPT PHD (OWNER)
(248) 442-2020
Entity
Organization
Contact information
Practice address
33466 WEST 8 MILE RD, STE 111, FARMINGTON HILLS, MI 48335
(248) 442-2020
(248) 442-8100
Mailing address
33466 WEST 8 MILE RD, STE 111, FARMINGTON HILLS, MI 48335
(248) 442-2020
(248) 442-8100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30366
BCBS
—
Enumeration date
08/30/2006
Last updated
01/11/2012
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