Provider Demographics
NPI:1629461363
Name:MEDICAL ALTERNATIVES REHABILITATION CENTERS INC.
Entity Type:Organization
Organization Name:MEDICAL ALTERNATIVES REHABILITATION CENTERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERZOG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:248-306-9068
Mailing Address - Street 1:24300 CATHERINE INDUSTRIAL DR
Mailing Address - Street 2:SUITE 409
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-2457
Mailing Address - Country:US
Mailing Address - Phone:248-306-9068
Mailing Address - Fax:248-306-9068
Practice Address - Street 1:24300 CATHERINE INDUSTRIAL DR
Practice Address - Street 2:SUITE 409
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-2457
Practice Address - Country:US
Practice Address - Phone:248-306-9068
Practice Address - Fax:248-306-9068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty