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NPI Code Detail

MEDICARE: RUKAYYA A BEARINGWALA P.T.

MEDICARE: RUKAYYA A BEARINGWALA P.T.
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
1225100000XPhysical Therapist5501013641MI

General Provider Information

NPI Number : 1073766408
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUKAYYA A BEARINGWALA P.T.
Provider Business Mailing Address
First Line : 9145 HIGHLAND RD
Second Line :
City : WHITE LAKE
State : MI
Zip : 48386-2033
Country : US
Telephone Number : 248-698-1277
Fax Number : 248-698-2089
Provider Business Practice Location Address
First Line : 9145 HIGHLAND RD
Second Line :
City : WHITE LAKE
State : MI
Zip : 48386-2033
Country : US
Telephone Number : 248-698-1277
Fax Number : 248-698-2089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2008
Last Update Date : 01/16/2009

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