Professional Quality Rehab Services,inc | |
7460 Dry Creek Dr Apt 2a, Grand Blanc, MI 48439-6313 | |
(810) 265-3882 | |
(810) 963-0560 |
Full Name | Professional Quality Rehab Services,inc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 7460 Dry Creek Dr Apt 2a, Grand Blanc, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760661631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501007308 (Michigan) | Primary |
Provider Name | Madhavan Krishnamoorthy |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366621294 PECOS PAC ID: 4789822735 Enrollment ID: I20131211000461 |
Mailing Address | Practice Location Address |
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Professional Quality Rehab Services,inc 7460 Dry Creek Dr Apt 2a, Grand Blanc, MI 48439-6313 Ph: (810) 265-3882 | Professional Quality Rehab Services,inc 7460 Dry Creek Dr Apt 2a, Grand Blanc, MI 48439-6313 Ph: (810) 265-3882 |
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