Provider Demographics
NPI:1851458608
Name:THERAMAX REHAB, INC
Entity Type:Organization
Organization Name:THERAMAX REHAB, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GULSHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-417-3646
Mailing Address - Street 1:3381 HIDDEN OAKS LN
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48324-3256
Mailing Address - Country:US
Mailing Address - Phone:586-335-8182
Mailing Address - Fax:248-779-7543
Practice Address - Street 1:3381 HIDDEN OAKS LN
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48324-3256
Practice Address - Country:US
Practice Address - Phone:586-335-8182
Practice Address - Fax:248-779-7543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Multi-Specialty
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontologyGroup - Multi-Specialty