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General NPI Number Information
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NPI Number | 1700484482
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Entity Type | Organization
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Legal Business Name | REDFORD PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 10/14/2020
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 25136 W 6 MILE RD
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City | REDFORD
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State | MI
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Zip | 48240-2102
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Country | US
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Telephone | 248-399-8282
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Fax |
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Provider Business Mailing Address
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Address Line | 25136 W 6 MILE RD
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City | REDFORD
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State | MI
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Zip | 48240-2102
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ZEINAB ABDALLAH MAKKI
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Credential |
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Telephone | 313-475-5007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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