Provider Demographics
NPI:1417017427
Name:PROHEALTH REHABILITATION PLLC
Entity Type:Organization
Organization Name:PROHEALTH REHABILITATION PLLC
Other - Org Name:AUBURN PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BARBA
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:989-662-7517
Mailing Address - Street 1:117 E MIDLAND RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MI
Mailing Address - Zip Code:48611-9780
Mailing Address - Country:US
Mailing Address - Phone:989-662-7517
Mailing Address - Fax:989-662-7516
Practice Address - Street 1:117 E MIDLAND RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MI
Practice Address - Zip Code:48611-9780
Practice Address - Country:US
Practice Address - Phone:989-662-7517
Practice Address - Fax:989-662-7516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty