Provider Demographics
NPI:1801267562
Name:BARCLAY THERAPY & REHAB LLC
Entity type:Organization
Organization Name:BARCLAY THERAPY & REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:YOUNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MIKHAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-207-6787
Mailing Address - Street 1:725 BARCLAY CIR STE 240
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5807
Mailing Address - Country:US
Mailing Address - Phone:248-606-4022
Mailing Address - Fax:248-289-6927
Practice Address - Street 1:725 BARCLAY CIR STE 240
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5807
Practice Address - Country:US
Practice Address - Phone:248-606-4022
Practice Address - Fax:248-289-6927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501013366261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy