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NPI Code Detail

MEDICARE: METRO-STRENGTH PERFORMANCE REHAB

MEDICARE: METRO-STRENGTH PERFORMANCE REHAB
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/Center
2225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11922664341OTHERMIBLUECROSS

General Provider Information

NPI Number : 1447982699
Entity Type Code : Organization
Provider Name (Legal Business Name) : METRO-STRENGTH PERFORMANCE REHAB
Provider Business Mailing Address
First Line : 1325 E 11 MILE RD
Second Line :
City : ROYAL OAK
State : MI
Zip : 48067-2051
Country : US
Telephone Number : 313-240-9700
Fax Number :
Provider Business Practice Location Address
First Line : 1325 E 11 MILE RD
Second Line :
City : ROYAL OAK
State : MI
Zip : 48067-2051
Country : US
Telephone Number : 313-240-9700
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. DERRIK FAUNT
Credential : PT
Telephone Number : 313-240-9700
Provider Enumeration Date : 06/27/2022
Last Update Date : 06/27/2022

Similar Medicare Providers

1922664341 — DERRIK FAUNT DPT
Practice Location Address:
1325 E 11 MILE RD
ROYAL OAK, MI
48067-2051
Practice Phone: 313-240-9700
Practice Fax:
1649079526 — ANNA TOPI DPT
Practice Location Address:
1325 E 11 MILE RD
ROYAL OAK, MI
48067-2051
Practice Phone: 313-240-9700
Practice Fax: 248-577-3789
1457215824 — NATHANIEL WHITFIELD LCSW
Practice Location Address:
221 N KENILWORTH AVE APT 312
OAK PARK, IL
60302-2051
Practice Phone: 847-903-8381
Practice Fax:
1407954738 — DR. KIM ELLIOTT MD
Practice Location Address:
2300 GREEN OAK DR STE 300
KINGWOOD, TX
77339-2051
Practice Phone: 281-359-4111
Practice Fax: 281-359-4447
1124149299 — MARY M SOLARZ LCSW-C
Practice Location Address:
7930 SILVER OAK RD
HANOVER, MD
21076-2051
Practice Phone: 754-800-8019
Practice Fax:
1386061059 — WENDY SCHULTZ LCSW
Practice Location Address:
2051 N OAK WOOD DR
ARLINGTON HEIGHTS, IL
60004-7215
Practice Phone: 847-297-3821
Practice Fax:

Directions to “METRO-STRENGTH PERFORMANCE REHAB ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.