Organization
PHYSICARE REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M.R. HYDER (ADMINISTRATOR)
(586) 447-1327
Entity
Organization
Contact information
Practice address
23600 HARPER AVE, SUITE 101, SAINT CLAIR SHORES, MI 48080-1445
(586) 447-1327
(586) 447-1406
Mailing address
23600 HARPER AVE, SUITE 101, SAINT CLAIR SHORES, MI 48080-1445
(586) 447-1327
(586) 447-1406
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30447
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
12/19/2006
Last updated
08/22/2020
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