Healthcare Provider Details

I. General information

NPI: 1831789577
Provider Name (Legal Business Name): DEARBORN REHABILITATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2021
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7750 SCHAEFER RD
DEARBORN MI
48126-1159
US

IV. Provider business mailing address

7750 SCHAEFER RD
DEARBORN MI
48126-1159
US

V. Phone/Fax

Practice location:
  • Phone: 248-875-6251
  • Fax:
Mailing address:
  • Phone: 248-875-6251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AHMED ALHAJJAJ
Title or Position: PRESIDENT
Credential:
Phone: 248-875-6251