Provider Demographics
NPI:1770630832
Name:ABLE PHYSICAL THERAPY & REHAB INC.
Entity Type:Organization
Organization Name:ABLE PHYSICAL THERAPY & REHAB INC.
Other - Org Name:ABLE PHYSICAL THERAPY & REHAB INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIJAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARIHARAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:586-489-9692
Mailing Address - Street 1:3699.EUCLID DRIVE
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-5758
Mailing Address - Country:US
Mailing Address - Phone:586-489-9692
Mailing Address - Fax:248-835-1234
Practice Address - Street 1:3699 EUCLID DR.
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-5758
Practice Address - Country:US
Practice Address - Phone:586-489-9692
Practice Address - Fax:248-835-1234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501007267261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy