Provider Demographics
NPI:1609379841
Name:ATLAS PHYSICAL THERAPY & REHAB LLC
Entity Type:Organization
Organization Name:ATLAS PHYSICAL THERAPY & REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAJAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ALKARAWY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-482-8986
Mailing Address - Street 1:13087 E 11 MILE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-4795
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13087 E 11 MILE RD STE 100
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-4795
Practice Address - Country:US
Practice Address - Phone:313-482-8986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-14
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy