Provider Demographics
NPI:1538674841
Name:AXXESS PHYSICAL THERAPY AND REHAB LP
Entity Type:Organization
Organization Name:AXXESS PHYSICAL THERAPY AND REHAB LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LIMITED PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MANDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-701-6539
Mailing Address - Street 1:4623 LAVENDER AVE
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:N9G 3A9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19915 JAMES COUZENS FWY
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-1840
Practice Address - Country:US
Practice Address - Phone:805-701-6539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-08
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy