Provider Demographics
NPI:1710175096
Name:QUALITY CARE THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:QUALITY CARE THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TATJANA
Authorized Official - Middle Name:TINA
Authorized Official - Last Name:SAVICH
Authorized Official - Suffix:
Authorized Official - Credentials:MSA,OTR
Authorized Official - Phone:586-286-9644
Mailing Address - Street 1:35 W SQUARE LAKE RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-2927
Mailing Address - Country:US
Mailing Address - Phone:248-879-5115
Mailing Address - Fax:248-879-5114
Practice Address - Street 1:35 W SQUARE LAKE RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-2927
Practice Address - Country:US
Practice Address - Phone:248-879-5115
Practice Address - Fax:248-879-5114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI926853225100000X
MI944371225100000X
MI894907225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty