Healthcare Provider Details

I. General information

NPI: 1346759354
Provider Name (Legal Business Name): THE CARE TEAM REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2017
Last Update Date: 09/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9501 E HIGHLAND RD
HOWELL MI
48843-9074
US

IV. Provider business mailing address

8323 MABLEY HILL RD
FENTON MI
48430-9455
US

V. Phone/Fax

Practice location:
  • Phone: 734-444-9858
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
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

VIII. Authorized Official

Name: JAMES TOUGAS
Title or Position: OWNER
Credential:
Phone: 734-444-9859