Provider Demographics
NPI:1396974184
Name:RABEY, BRUCE J (PT)
Entity type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:J
Last Name:RABEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31545 HALDANE ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1557
Mailing Address - Country:US
Mailing Address - Phone:248-477-0079
Mailing Address - Fax:
Practice Address - Street 1:31545 HALDANE ST
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1557
Practice Address - Country:US
Practice Address - Phone:248-477-0079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI501010245225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist