Healthcare Provider Details

I. General information

NPI: 1871315580
Provider Name (Legal Business Name): PARAMOUNT CHILDRENS THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2024
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CENTER AVE
BAY CITY MI
48708-6189
US

IV. Provider business mailing address

2535 22ND ST
BAY CITY MI
48708-7612
US

V. Phone/Fax

Practice location:
  • Phone: 989-778-2098
  • Fax: 989-778-2049
Mailing address:
  • Phone: 989-891-9800
  • Fax: 989-891-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. MANJUSHA SUNIL MALEWAR
Title or Position: REHAB DIRECTOR
Credential: PHYSICAL THERAPIST
Phone: 989-891-9800