Prime Rehab and Physical Therapy INC

NPI #1457356453 in Detroit, Michigan

Provider Information

NPI Number: 1457356453
Entity Type: Organization
Organization Name: Prime Rehab and Physical Therapy INC
Primary Specialty: Residential Treatment Facility, Physical Disabilities
Enumeration Date: Jun 16, 2005
Last Updated: Mar 7, 2012

Practice Location

Address: 2900 S FORT ST
Address 2: STE 3
City: Detroit
State: Michigan
ZIP Code: 48217-1061
Phone: (313) 388-0156

Authorized Official

Name: DR. MUHAMMAD SADIQ
Title: ADMINISTRATOR
Phone: (313) 357-3079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Physical Disabilities	320700000X	Primary

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