Healthcare Provider Details

I. General information

NPI: 1346830866
Provider Name (Legal Business Name): REHABILITATION MASTERS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2021
Last Update Date: 01/19/2021
Certification Date: 01/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47640 GRATIOT AVE
CHESTERFIELD MI
48051-2718
US

IV. Provider business mailing address

37637 FIVE MILE RD STE 259
LIVONIA MI
48154-1543
US

V. Phone/Fax

Practice location:
  • Phone: 248-662-5099
  • Fax: 248-284-7525
Mailing address:
  • Phone: 248-662-5099
  • Fax: 248-284-7525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MONIKA M SARIN
Title or Position: ADMINISTRATION
Credential:
Phone: 734-576-1365