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General NPI Number Information
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NPI Number | 1952498180
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE REHAB, INC
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 07/18/2014
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Provider Practice Location Address
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Address Line | 20319 FARMINGTON RD BLDG E
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City | LIVONIA
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State | MI
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Zip | 48152-1411
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Country | US
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Telephone | 248-476-8911
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Fax | 248-476-8913
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Provider Business Mailing Address
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Address Line | 20319 FARMINGTON RD BLDG E
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City | LIVONIA
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State | MI
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Zip | 48152-1411
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Country | US
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Telephone | 248-476-8911
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Fax | 248-476-8913
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TOBY RAJU MANIMALETHU
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Credential | PT
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Telephone | 248-476-6080
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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 | 5501007767
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501005163
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501006797
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501006800
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201000980
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501009887
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501014812
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License Number State | MI
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Taxonomy #8
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501009312
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License Number State | MI
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Taxonomy #9
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501014862
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License Number State | MI
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