Provider Demographics
NPI:1528203106
Name:HI-TECH REHABILITATION SERVICES
Entity Type:Organization
Organization Name:HI-TECH REHABILITATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUNITA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAND
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:248-443-8091
Mailing Address - Street 1:23077 GREENFIELD RD STE 234
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-3722
Mailing Address - Country:US
Mailing Address - Phone:248-443-8091
Mailing Address - Fax:248-443-8092
Practice Address - Street 1:23077 GREENFIELD RD STE 234
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-3722
Practice Address - Country:US
Practice Address - Phone:248-443-8091
Practice Address - Fax:248-443-8092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy