Provider Demographics
NPI:1508067893
Name:TRISTAR REHAB SERVICES, INC
Entity Type:Organization
Organization Name:TRISTAR REHAB SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SURESH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-754-6308
Mailing Address - Street 1:7200 E 10 MILE RD
Mailing Address - Street 2:
Mailing Address - City:CENTER LINE
Mailing Address - State:MI
Mailing Address - Zip Code:48015-1400
Mailing Address - Country:US
Mailing Address - Phone:586-754-6308
Mailing Address - Fax:586-754-6309
Practice Address - Street 1:7200 E 10 MILE RD
Practice Address - Street 2:
Practice Address - City:CENTER LINE
Practice Address - State:MI
Practice Address - Zip Code:48015-1400
Practice Address - Country:US
Practice Address - Phone:586-754-6308
Practice Address - Fax:586-754-6309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy