Provider Demographics
NPI:1942529466
Name:ACCESS PLUS REHAB
Entity Type:Organization
Organization Name:ACCESS PLUS REHAB
Other - Org Name:ACCESS PLUS REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GIGI
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:248-233-0659
Mailing Address - Street 1:20526 PLYMOUTH RD STE B
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-1273
Mailing Address - Country:US
Mailing Address - Phone:313-397-7429
Mailing Address - Fax:313-397-7460
Practice Address - Street 1:20526 PLYMOUTH RD STE B
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-1273
Practice Address - Country:US
Practice Address - Phone:313-397-7429
Practice Address - Fax:313-397-7460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-24
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Single Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty