Provider Demographics
NPI:1710229554
Name:EXCELLENT REHAB SERVICES, INC
Entity Type:Organization
Organization Name:EXCELLENT REHAB SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:BILAL
Authorized Official - Last Name:RIZWAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:248-979-4953
Mailing Address - Street 1:7254 SILVER LEAF LN
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3330
Mailing Address - Country:US
Mailing Address - Phone:248-979-4953
Mailing Address - Fax:248-786-5383
Practice Address - Street 1:28270 FRANKLIN RD
Practice Address - Street 2:SUITE 1-A
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1659
Practice Address - Country:US
Practice Address - Phone:248-979-4953
Practice Address - Fax:248-786-5383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501012395225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty