| Doctor Name: | MOHAMMAD REZA DANESHVAR |
| NPI Number: | 1952640443 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 5501015767 |
| Business Practice Address: | 7105 Allen Rd Allen Park, MI - 481012009 |
| Business Phone Number: | 3133860384 |
| Business Fax Number: | |
| Mailing Address: | Po Box 250014, WEST BLOOMFIELD |
| State: | MI |
| Postal Code: | 483250014 |
| Phone Number: | 2482315522 |
| Fax Number: | |
| NPI Enumeration Date: | 02/04/2013 |
| NPI Last Update Date: | 02/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501015767 |
| 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 |