Provider Demographics
NPI:1023489895
Name:CHITTER CHATTER, P.C
Entity type:Organization
Organization Name:CHITTER CHATTER, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANSOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-522-5777
Mailing Address - Street 1:1000 REPUBLIC DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-3658
Mailing Address - Country:US
Mailing Address - Phone:313-522-5777
Mailing Address - Fax:313-436-5188
Practice Address - Street 1:1000 REPUBLIC DR
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-3658
Practice Address - Country:US
Practice Address - Phone:313-522-5777
Practice Address - Fax:313-436-5188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, ChildGroup - Multi-Specialty