Provider Demographics
NPI:1588084263
Name:HANDS-ON PHYSICAL THERAPY AND ATHLETIC REHABILITATION CENTER LLC
Entity type:Organization
Organization Name:HANDS-ON PHYSICAL THERAPY AND ATHLETIC REHABILITATION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIKHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MUHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:248-552-0205
Mailing Address - Street 1:18899 W 12 MILE RD
Mailing Address - Street 2:STE. 102
Mailing Address - City:LATHRUP VILLAGE
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2541
Mailing Address - Country:US
Mailing Address - Phone:248-552-0205
Mailing Address - Fax:
Practice Address - Street 1:18899 W 12 MILE RD
Practice Address - Street 2:STE. 102
Practice Address - City:LATHRUP VILLAGE
Practice Address - State:MI
Practice Address - Zip Code:48076-2541
Practice Address - Country:US
Practice Address - Phone:248-552-0205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-22
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty