Provider Demographics
NPI:1346776663
Name:LIFE CARE PHYSICAL THERAPY & REHAB CENTER INC
Entity Type:Organization
Organization Name:LIFE CARE PHYSICAL THERAPY & REHAB CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHID
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:248-787-0582
Mailing Address - Street 1:30018 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2252
Mailing Address - Country:US
Mailing Address - Phone:248-787-0582
Mailing Address - Fax:
Practice Address - Street 1:30018 ORCHARD LAKE RD
Practice Address - Street 2:SUITE A
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2252
Practice Address - Country:US
Practice Address - Phone:248-787-0582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-05
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501004559261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIPENDINGMedicare PIN