Health Source Rehab, LLC

Organization Active NPI Physical Therapy Clinic/Center · Warren, MI

NPI 1134556103 · NPPES record last updated Oct 4, 2013

Key facts

NPI
1134556103
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
Legal business name
HEALTH SOURCE REHAB, LLC
Practice address
4100 E 11 Mile Rd
Warren, MI 48091-1192
Phone
(586) 757-2440
Fax
(586) 757-2441
NPI assigned
Oct 4, 2013
Organization subpart
No

Authorized official

Name
Mr. Augusto Dayco
Title
Director
Phone
(586) 757-2440

National Provider Directory

Locations

4100 E 11 Mile Rd
Warren, MI 48091
Phone (586) 757-2440

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Yes

Addresses

Primary practice location

4100 E 11 Mile Rd
Warren, MI 48091-1192

Mailing address

4100 E 11 Mile Rd
Warren, MI 48091-1192
Phone (586) 757-2440

Other providers in Warren, MI

All providers in Warren, MI · Physical Therapy Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.