Organization
INTERSTATE REHAB
Active
Other names
Essenza Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
GERARDO B. CARBONELL DPT (PRESIDENT)
(586) 530-7114
Entity
Organization
Contact information
Practice address
1000 JOHN R RD STE 114, TROY, MI 48083-4317
(248) 850-8745
(248) 843-0044
Mailing address
1000 JOHN R RD STE 114, TROY, MI 48083-4317
(248) 850-8745
(248) 843-0044
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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