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General NPI Number Information
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NPI Number | 1851458608
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Entity Type | Organization
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Legal Business Name | THERAMAX REHAB, INC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 2300 GRAND HAVEN DR
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City | TROY
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State | MI
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Zip | 48083-4418
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Country | US
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Telephone | 586-335-8182
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Fax | 248-757-2330
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Provider Business Mailing Address
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Address Line | 3381 HIDDEN OAKS LN
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48324-3256
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Country | US
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Telephone | 586-335-8182
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Fax | 248-779-7543
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Authorized Official
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Title or Position | OWNER
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Name | GULSHAN CHANDNA
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Credential |
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Telephone | 248-417-3646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XG0600X
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Taxonomy Name | Gerontology Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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