Provider Demographics
NPI:1023801669
Name:GRACE HEALING PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:GRACE HEALING PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SABAH
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:586-604-2010
Mailing Address - Street 1:37860 VAN DYKE AVE
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-1840
Mailing Address - Country:US
Mailing Address - Phone:586-604-2010
Mailing Address - Fax:
Practice Address - Street 1:37860 VAN DYKE AVE
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-1840
Practice Address - Country:US
Practice Address - Phone:586-604-2010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty