Provider Demographics
NPI:1992357800
Name:PROBITY THERAPY CARE
Entity Type:Organization
Organization Name:PROBITY THERAPY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:TENALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-258-5798
Mailing Address - Street 1:22168 CHELSEA LN
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:48183-1144
Mailing Address - Country:US
Mailing Address - Phone:734-258-5798
Mailing Address - Fax:
Practice Address - Street 1:32460 SCHOOLCRAFT RD STE A
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-4308
Practice Address - Country:US
Practice Address - Phone:734-258-5798
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty