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NPI 1407918477

NPI 1407918477 : ROYAL PHYSICAL THERAPY & REHABILITATION SERVICES INC : WARREN, MI

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General NPI Number Information
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    NPI Number           |    1407918477
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROYAL PHYSICAL THERAPY & REHABILITATION SERVICES INC 
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Dates
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    Enumeration Date     |    12/15/2006
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    Last Update Date     |    01/27/2025
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Provider Practice Location Address
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    Address Line         |    32171 MOUND RD 
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    City                 |    WARREN
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    State                |    MI
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    Zip                  |    48092-3872
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    Country              |    US
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    Telephone            |    313-541-7204
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    Fax                  |    313-541-7216
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Provider Business Mailing Address
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    Address Line         |    25940 TIMBERLINE DR 
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    City                 |    WARREN
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    State                |    MI
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    Zip                  |    48091-6016
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    Country              |    US
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    Telephone            |    313-541-7204
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    Fax                  |    313-541-7216
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ADELEKAN KAMILU ADELEKE 
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    Credential           |    
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    Telephone            |    313-541-7204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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