Organization
GREAT LAKES PROFESSIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI SOBH (PRESIDENT/OWNER)
(313) 581-1623
Entity
Organization
Contact information
Practice address
22214 FORD RD, DEARBORN HEIGHTS, MI 48127-2420
(313) 581-1623
(313) 581-4683
Mailing address
22214 FORD RD, DEARBORN HEIGHTS, MI 48127-2420
(313) 581-1623
(313) 581-4683
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
03/03/2021
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