Healthcare Provider Details

I. General information

NPI: 1629461363
Provider Name (Legal Business Name): MEDICAL ALTERNATIVES REHABILITATION CENTERS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2015
Last Update Date: 03/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24300 CATHERINE INDUSTRIAL DR SUITE 409
NOVI MI
48375-2457
US

IV. Provider business mailing address

24300 CATHERINE INDUSTRIAL DR SUITE 409
NOVI MI
48375-2457
US

V. Phone/Fax

Practice location:
  • Phone: 248-306-9068
  • Fax: 248-306-9068
Mailing address:
  • Phone: 248-306-9068
  • Fax: 248-306-9068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: BARBARA HERZOG
Title or Position: CONSULTANT
Credential: PT
Phone: 248-306-9068