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NPI Code Detail

MEDICARE: METRO PHYSICAL THERAPY,INC.

MEDICARE: METRO PHYSICAL THERAPY,INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center5501006270MI

General Provider Information

NPI Number : 1073677829
Entity Type Code : Organization
Provider Name (Legal Business Name) : METRO PHYSICAL THERAPY,INC.
Provider Business Mailing Address
First Line : 3446 PASADENA DR
Second Line :
City : TROY
State : MI
Zip : 48083-5947
Country : US
Telephone Number : 248-935-9585
Fax Number : 248-619-0533
Provider Business Practice Location Address
First Line : 10809 MACK AVE
Second Line :
City : DETROIT
State : MI
Zip : 48214-2119
Country : US
Telephone Number : 313-331-2100
Fax Number : 248-619-0533
Authorized Official
Title or Position : OWNER
Name : JAY S. JHA
Credential : PHYSICAL THERAPIST
Telephone Number : 313-331-2100
Provider Enumeration Date : 12/19/2006
Last Update Date : 08/29/2007

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Directions to “METRO PHYSICAL THERAPY,INC. ” Practice Location

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