Healthcare Provider Details

I. General information

NPI: 1467532838
Provider Name (Legal Business Name): ANN ARBOR PHYSICAL THERAPY SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 10/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16251 WOODWORD AVE
HIGHLAND PARK MI
48203-2867
US

IV. Provider business mailing address

16251 WOODWORD AVE
HIGHLAND PARK MI
48203-2867
US

V. Phone/Fax

Practice location:
  • Phone: 313-852-3200
  • Fax: 313-852-3204
Mailing address:
  • Phone: 313-852-3200
  • Fax: 313-852-3204

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: MR. SYED Z.H. RIZVI
Title or Position: ADMINISTRATOR
Credential:
Phone: 734-677-4345