Provider Demographics
NPI:1508195363
Name:TOTAL REHAB SERVICES
Entity Type:Organization
Organization Name:TOTAL REHAB SERVICES
Other - Org Name:TOTAL REHAB SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COTA
Authorized Official - Prefix:MRS
Authorized Official - First Name:HARINDERPAL
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:AUJLA
Authorized Official - Suffix:
Authorized Official - Credentials:COTA
Authorized Official - Phone:586-258-8789
Mailing Address - Street 1:42156 BOBJEAN ST
Mailing Address - Street 2:
Mailing Address - City:STERLING HTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-3121
Mailing Address - Country:US
Mailing Address - Phone:586-258-8789
Mailing Address - Fax:
Practice Address - Street 1:42156 BOBJEAN STREET
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314
Practice Address - Country:US
Practice Address - Phone:586-258-8765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5202007121261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy