Provider Demographics
NPI:1437482239
Name:ANN PHYSICAL THERAPY AND REHAB INC.
Entity Type:Organization
Organization Name:ANN PHYSICAL THERAPY AND REHAB INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NIKHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANNA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:248-703-0584
Mailing Address - Street 1:1782 GOLF RIDGE DR S
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-1730
Mailing Address - Country:US
Mailing Address - Phone:248-703-0584
Mailing Address - Fax:
Practice Address - Street 1:1782 GOLF RIDGE DR S
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-1730
Practice Address - Country:US
Practice Address - Phone:248-703-0584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2015-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501006719251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health