Provider Demographics
NPI:1720532443
Name:COMPREHENSIVE HAND & REHABILITATION, LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE HAND & REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GOBLE
Authorized Official - Suffix:
Authorized Official - Credentials:CHT
Authorized Official - Phone:248-885-2308
Mailing Address - Street 1:42869 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-5036
Mailing Address - Country:US
Mailing Address - Phone:248-952-9180
Mailing Address - Fax:248-952-9185
Practice Address - Street 1:5160 GOTFREDSON RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-5019
Practice Address - Country:US
Practice Address - Phone:248-885-2038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty