Provider Demographics
NPI:1831789577
Name:DEARBORN REHABILITATION INC
Entity type:Organization
Organization Name:DEARBORN REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ALHAJJAJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-875-6251
Mailing Address - Street 1:7750 SCHAEFER RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1159
Mailing Address - Country:US
Mailing Address - Phone:248-875-6251
Mailing Address - Fax:
Practice Address - Street 1:7750 SCHAEFER RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-1159
Practice Address - Country:US
Practice Address - Phone:248-875-6251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy