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DEQUINDRE PHYSICAL THERAPY & REHAB SERVICE INC. NPI 1871675447


NPI Information

NPI: 1871675447
Provider Name: DEQUINDRE PHYSICAL THERAPY & REHAB SERVICE INC.

Other Name: DEQUINDRE PHYSICAL THERAPY & REHAB SERVICE INC.

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
41069 DEQUINDRE ROAD
SUITE 102
TROY, MI
ZIP 48085
Phone: (248) 879-9400
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DEQUINDRE PHYSICAL THERAPY & REHAB SERVICE INC. is a specialist in Troy, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DEQUINDRE PHYSICAL THERAPY & REHAB SERVICE INC. NPI is 1871675447. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Dequindre Physical Therapy & Rehab Service Inc..

The provider's business location address is:

41069 DEQUINDRE ROAD
SUITE 102
TROY, MI
ZIP 48085-730
Phone: (248) 879-9400
Fax: (248) 879-2348

The provider's authorized official is Markus M Munger .
The authorized official title is Owner and has the following contact phone number (248) 879-9400.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 4/25/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1236587MEDICARE OSCAR/CERTIFICATIONWISCONSIN
230454OTHERMICHIGANBCBSM
3236587MEDICARE PINWISCONSIN
4236587MEDICARE OSCAR/CERTIFICATIONMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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