Healthcare Provider Details

I. General information

NPI: 1003762139
Provider Name (Legal Business Name): VERVE DYNAMICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28051 DEQUINDRE RD
MADISON HEIGHTS MI
48071-3016
US

IV. Provider business mailing address

28051 DEQUINDRE RD
MADISON HEIGHTS MI
48071-3016
US

V. Phone/Fax

Practice location:
  • Phone: 248-790-0700
  • Fax: 248-629-4010
Mailing address:
  • Phone: 248-790-0700
  • Fax: 248-629-4010

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. SAMUEL LABIB
Title or Position: OWNER
Credential: OWNER
Phone: 248-790-0700