Provider Demographics
NPI:1346553328
Name:VEERA PHYSICAL THERAPY AND REHAB CENTER LLC
Entity Type:Organization
Organization Name:VEERA PHYSICAL THERAPY AND REHAB CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:MRINALINI
Authorized Official - Middle Name:V
Authorized Official - Last Name:REDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-212-5134
Mailing Address - Street 1:17070 W 12 MILE RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2116
Mailing Address - Country:US
Mailing Address - Phone:248-483-3990
Mailing Address - Fax:248-750-0692
Practice Address - Street 1:17070 W 12 MILE RD
Practice Address - Street 2:SUITE E
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2116
Practice Address - Country:US
Practice Address - Phone:248-483-3990
Practice Address - Fax:248-750-0692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty