| Organization Name: | DIVINE REHAB LLC |
| NPI Number: | 1336246511 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HITESH V KHATRI (PHYSICAL THERAPIST) |
| Mailing Address: | 3741 Mcdougall St Suite 3 Detroit |
| State: | MI US |
| Postal Code: | 482072345 |
| Phone Number: | 3132671615 |
| Fax Number: | 3135791354 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501008375 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |