Gurbahar Singh Sidhu, | |
49063 Gaviota Ln, Macomb, MI 48044-1164 | |
(586) 822-0007 | |
Not Available |
Full Name | Gurbahar Singh Sidhu |
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Gender | Male |
Speciality | Physical Therapist |
Location | 49063 Gaviota Ln, Macomb, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619530557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 5501014522 (Michigan) | Primary |
Provider Name | Back To Life Therapy & Rehab Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306527452 PECOS PAC ID: 3173976941 Enrollment ID: O20240129000451 |
Mailing Address | Practice Location Address |
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Gurbahar Singh Sidhu, 35745 N Grandview Ct, Farmington Hills, MI 48335-2414 Ph: (214) 208-1403 | Gurbahar Singh Sidhu, 49063 Gaviota Ln, Macomb, MI 48044-1164 Ph: (586) 822-0007 |
Vijayarajan Malaichamy, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15876 Eagle Dr, Macomb, MI 48044 Phone: 586-909-4963 | |
Kelly Anne Penn, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15959 Hall Rd Ste 410, Macomb, MI 48044 Phone: 586-416-6290 | |
Mrs. Lori Ann Hamby, P.T., A.T.C. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 46591 Romeo Plank Rd, Suite 115, Macomb, MI 48044 Phone: 586-226-6506 Fax: 586-226-6505 | |
Abby Lynn Walsh, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21972 23 Mile Rd, Macomb, MI 48042 Phone: 586-846-3185 | |
Nicholas Reder, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 48800 Romeo Plank Rd, Macomb, MI 48044 Phone: 586-997-7100 Fax: 586-997-7101 | |
Rebecca Leigh Pace, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21972 23 Mile Rd, Macomb, MI 48042 Phone: 586-212-8812 Fax: 586-212-8812 | |
Mrs. Sharon Lee Ortwein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 46525 Breckenridge Dr, Macomb, MI 48044 Phone: 586-247-2171 |