Provider Demographics
NPI:1427217751
Name:THERAPEUTIC CARE PC
Entity Type:Organization
Organization Name:THERAPEUTIC CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAHIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERVEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-285-7011
Mailing Address - Street 1:13400 FORT ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHGATE
Mailing Address - State:MI
Mailing Address - Zip Code:48195-1138
Mailing Address - Country:US
Mailing Address - Phone:734-285-7011
Mailing Address - Fax:734-285-7011
Practice Address - Street 1:13400 FORT ST
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-1138
Practice Address - Country:US
Practice Address - Phone:734-285-7011
Practice Address - Fax:734-285-7011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty