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NPI Code Detail

MEDICARE: COMPREHENSIVE HAND & REHABILITATION, LLC

MEDICARE: COMPREHENSIVE HAND & REHABILITATION, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XH1200XHand Occupational Therapist
2332BC3200XCustomized Equipment (DME)
3225000000XOrthotic Fitter
4335E00000XProsthetic/Orthotic Supplier

General Provider Information

NPI Number : 1518411248
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE HAND & REHABILITATION, LLC
Provider Business Mailing Address
First Line : 5798 HIGHLAND RD
Second Line :
City : WATERFORD
State : MI
Zip : 48327-1826
Country : US
Telephone Number : 248-724-4400
Fax Number :
Provider Business Practice Location Address
First Line : 1910 S ROCHESTER RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-3534
Country : US
Telephone Number : 248-218-5150
Fax Number : 248-218-5155
Authorized Official
Title or Position : MANAGER
Name : LISA M GOBLE
Credential : OTR CHT
Telephone Number : 248-885-2308
Provider Enumeration Date : 08/10/2016
Last Update Date : 07/23/2024

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