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NPI Code Detail

MEDICARE: ADVANCE PHYSICAL THERAPY AND REHAB CENTER OF MICHIGAN LLC

MEDICARE: ADVANCE PHYSICAL THERAPY AND REHAB CENTER OF MICHIGAN LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1356028039
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCE PHYSICAL THERAPY AND REHAB CENTER OF MICHIGAN LLC
Provider Business Mailing Address
First Line : 26211 CENTRAL PARK BLVD STE 116
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48076-4107
Country : US
Telephone Number : 248-291-7516
Fax Number :
Provider Business Practice Location Address
First Line : 26211 CENTRAL PARK BLVD STE 116
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48076-4107
Country : US
Telephone Number : 248-291-7516
Fax Number :
Authorized Official
Title or Position : EMPLOYEE
Name : IRAM TARIQ
Credential :
Telephone Number : 248-291-7516
Provider Enumeration Date : 07/03/2023
Last Update Date : 07/03/2023

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Directions to “ADVANCE PHYSICAL THERAPY AND REHAB CENTER OF MICHIGAN LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.