MEDICARE: COMPLETE REHAB SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	236639	OTHER	HAP
2	7979106	OTHER	AETNA
3	30492	OTHER	BCBS MI

General Provider Information

NPI Number	:	1811980162
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE REHAB SERVICES, INC

Provider Business Mailing Address
First Line	:	1380 COOLIDGE HWY STE L50
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48084-7069
Country	:	US
Telephone Number	:	248-649-3755
Fax Number	:

Provider Business Practice Location Address
First Line	:	51226 ROMEO PLANK
Second Line	:
City	:	MACOMB
State	:	MI
Zip	:	48042
Country	:	US
Telephone Number	:	586-677-2900
Fax Number	:	586-677-2903

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ZUBAIR RATHUR
Credential	:
Telephone Number	:	248-649-3755

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	10/23/2018

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Directions to “COMPLETE REHAB SERVICES, INC ” Practice Location

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