Provider Demographics
NPI:1770194607
Name:RESTORATIVE REHABILITATION INC
Entity Type:Organization
Organization Name:RESTORATIVE REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAWAD
Authorized Official - Middle Name:ALAM
Authorized Official - Last Name:KARAM
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:248-296-4053
Mailing Address - Street 1:9228 PELHAM RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-3832
Mailing Address - Country:US
Mailing Address - Phone:248-296-4053
Mailing Address - Fax:313-914-4072
Practice Address - Street 1:9228 PELHAM RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-3832
Practice Address - Country:US
Practice Address - Phone:248-296-4053
Practice Address - Fax:313-914-4072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy