Provider Demographics
NPI:1235186768
Name:S AND G REHAB, INC
Entity Type:Organization
Organization Name:S AND G REHAB, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACQUES
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:734-717-1690
Mailing Address - Street 1:3220 DUNWOODIE RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-4113
Mailing Address - Country:US
Mailing Address - Phone:734-717-1690
Mailing Address - Fax:
Practice Address - Street 1:3220 DUNWOODIE RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-4113
Practice Address - Country:US
Practice Address - Phone:734-717-1690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-29
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P03660Medicare ID - Type UnspecifiedGROUP NUMBER