Healthcare Provider Details

I. General information

NPI: 1629783402
Provider Name (Legal Business Name): BALANCE REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2023
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5060 VILLA LINDE PKWY
FLINT MI
48532-3411
US

IV. Provider business mailing address

5785 SPRINGBROOK DR
TROY MI
48098-5357
US

V. Phone/Fax

Practice location:
  • Phone: 810-733-5060
  • Fax:
Mailing address:
  • Phone: 248-667-1877
  • 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: SAIYID M HUSSAINI
Title or Position: OWNER
Credential: R.P.T.
Phone: 248-667-1877