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General NPI Number Information
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NPI Number | 1376173161
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Entity Type | Organization
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Legal Business Name | PERSONAL INJURY PHYSICAL THERAPY & REHAB LLC
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Dates
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Enumeration Date | 01/21/2020
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Last Update Date | 01/21/2020
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Provider Practice Location Address
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Address Line | PERSONAL INJURY PHYSICAL THERAPY & REHAB LLC 28763 NORTHWESTERN HWY, STE 101
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1842
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Country | US
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Telephone | 248-870-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 28763 NORTHWESTERN HWY STE 101
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1842
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Country | US
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Telephone | 248-870-7000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CALVIN L CAREY
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Credential |
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Telephone | 248-870-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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