Healthcare Provider Details

I. General information

NPI: 1427136902
Provider Name (Legal Business Name): PROFESSIONAL REHAB SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 05/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4233 MAIN STREET
BROWN CITY MI
48416
US

IV. Provider business mailing address

1300 W SAM HOUSTON PKWY S SUITE 300
HOUSTON TX
77042-2447
US

V. Phone/Fax

Practice location:
  • Phone: 810-346-4036
  • Fax: 810-346-4084
Mailing address:
  • Phone: 713-297-7000
  • Fax: 713-297-7090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JANNA P. KING
Title or Position: VP/AUTHORIZED OFFICIAL
Credential: JD
Phone: 713-297-7000