Provider Demographics
NPI:1225367865
Name:QUALITY CARE REHABILITATION PROFESSIONALS
Entity Type:Organization
Organization Name:QUALITY CARE REHABILITATION PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JYOTI
Authorized Official - Middle Name:
Authorized Official - Last Name:AHUJA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:248-882-6746
Mailing Address - Street 1:2632 BEACON HILL DR
Mailing Address - Street 2:APT 201
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-3722
Mailing Address - Country:US
Mailing Address - Phone:248-882-6746
Mailing Address - Fax:
Practice Address - Street 1:42536 HAYES RD
Practice Address - Street 2:100
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-6766
Practice Address - Country:US
Practice Address - Phone:586-286-9644
Practice Address - Fax:586-286-9647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501014017225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty