Healthcare Provider Details

I. General information

NPI: 1912906744
Provider Name (Legal Business Name): METRO PHYSICAL THERAPY AND REHABILITATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15565 NORTHLAND DR E SUITE 208
SOUTHFIELD MI
48075-5302
US

IV. Provider business mailing address

15565 NORTHLAND DR, SUITE 208 E
SOUTHFIELD MI
48075
US

V. Phone/Fax

Practice location:
  • Phone: 248-424-7394
  • Fax: 248-424-7397
Mailing address:
  • Phone: 248-424-7394
  • Fax: 248-424-7397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: IRAM Q TARIQ
Title or Position: PRESIDENT
Credential:
Phone: 248-424-7394