Healthcare Provider Details

I. General information

NPI: 1710222047
Provider Name (Legal Business Name): ABILITY WORKS OUTPATIENT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2012
Last Update Date: 10/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18791 15 MILE RD
CLINTON TOWNSHIP MI
48035-2503
US

IV. Provider business mailing address

18791 15 MILE RD
CLINTON TOWNSHIP MI
48035-2503
US

V. Phone/Fax

Practice location:
  • Phone: 586-790-2427
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberD83022
License Number StateMI

VIII. Authorized Official

Name: MR. ELIAS JAMIL
Title or Position: CEO
Credential:
Phone: 248-410-0126