Provider Demographics
NPI:1730124538
Name:PAS REHABILITATION INC.
Entity type:Organization
Organization Name:PAS REHABILITATION INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA TERESA
Authorized Official - Middle Name:TRONGCO
Authorized Official - Last Name:BANCOLITA-COOK
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:586-263-3999
Mailing Address - Street 1:16701 21 MILE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-2604
Mailing Address - Country:US
Mailing Address - Phone:586-263-3999
Mailing Address - Fax:586-263-8338
Practice Address - Street 1:16701 21 MILE RD
Practice Address - Street 2:SUITE A
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-2604
Practice Address - Country:US
Practice Address - Phone:586-263-3999
Practice Address - Fax:586-263-8338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty