Provider Demographics
NPI:1154628055
Name:OKUNS REHAB SERVICES INC.
Entity Type:Organization
Organization Name:OKUNS REHAB SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLAJIDE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKUNROUNMU
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:248-521-6980
Mailing Address - Street 1:34600 VAN BORN RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:MI
Mailing Address - Zip Code:48184-2769
Mailing Address - Country:US
Mailing Address - Phone:248-521-6980
Mailing Address - Fax:734-895-9523
Practice Address - Street 1:24910 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-1740
Practice Address - Country:US
Practice Address - Phone:248-521-6980
Practice Address - Fax:734-895-9523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-12
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty