Mr Ahmad Taha Abulaban, PT | |
329 Columbia St, Algonac, MI 48001-1543 | |
(810) 794-8040 | |
(810) 794-8041 |
Full Name | Mr Ahmad Taha Abulaban |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 329 Columbia St, Algonac, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063607745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501004921 (Michigan) | Primary |
Provider Name | Michigan Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003448994 PECOS PAC ID: 9032549217 Enrollment ID: O20200501000804 |
Mailing Address | Practice Location Address |
---|---|
Mr Ahmad Taha Abulaban, PT 6344 Middlesex St, Dearborn, MI 48126-6800 Ph: (313) 729-8554 | Mr Ahmad Taha Abulaban, PT 329 Columbia St, Algonac, MI 48001-1543 Ph: (810) 794-8040 |
Trevor Mccready, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 Saint Clair River Dr Ste D, Algonac, MI 48001 Phone: 810-512-7474 | |
Roberta E Huard, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 421 Michigan St, Algonac, MI 48001 Phone: 810-794-8040 | |
Hq Of Algonac Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 555 Saint Clair River Dr Ste D, Algonac, MI 48001 Phone: 810-512-7474 Fax: 810-626-6832 |