MEDICARE: CORELIEF REHAB LLC

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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1306722194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORELIEF REHAB LLC

Provider Business Mailing Address
First Line	:	18570 GRAND RIVER AVE STE 102
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48223-2201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18570 GRAND RIVER AVE STE 102
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48223-2201
Country	:	US
Telephone Number	:	586-883-3101
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MUHAMMAD ANEES
Credential	:	R.P.T.
Telephone Number	:	868-833-1015

Provider Enumeration Date	:	08/15/2025
Last Update Date	:	12/05/2025

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Directions to “CORELIEF REHAB LLC ” Practice Location

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