Provider Demographics
NPI:1770650087
Name:ALL CARE PHYSICAL THERAPY AND REHABILITATION INC.
Entity Type:Organization
Organization Name:ALL CARE PHYSICAL THERAPY AND REHABILITATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:
Authorized Official - Last Name:BHANDARI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:586-755-6000
Mailing Address - Street 1:25511 VAN DYKE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:CENTER LINE
Mailing Address - State:MI
Mailing Address - Zip Code:48015-1834
Mailing Address - Country:US
Mailing Address - Phone:586-755-6000
Mailing Address - Fax:
Practice Address - Street 1:25511 VAN DYKE AVE STE 200
Practice Address - Street 2:
Practice Address - City:CENTER LINE
Practice Address - State:MI
Practice Address - Zip Code:48015-1834
Practice Address - Country:US
Practice Address - Phone:586-755-6000
Practice Address - Fax:586-755-6006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501005071261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI236792Medicare ID - Type Unspecified