MEDICARE: MOTION PHYSICAL THERAPY

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	305S00000X	Point of Service

General Provider Information

NPI Number	:	1336535590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTION PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	1049 INKSTER RD
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-3168
Country	:	US
Telephone Number	:	313-438-0556
Fax Number	:	313-438-0557

Provider Business Practice Location Address
First Line	:	1049 INKSTER RD
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-3168
Country	:	US
Telephone Number	:	313-438-0556
Fax Number	:	313-438-0557

Authorized Official
Title or Position	:	DIRECTOR
Name	:	RACHIDA ABDELLAH
Credential	:
Telephone Number	:	313-649-1685

Provider Enumeration Date	:	04/14/2015
Last Update Date	:	04/14/2015

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Directions to “MOTION PHYSICAL THERAPY ” Practice Location

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