Provider Demographics
NPI:1386493724
Name:TOTAL REHAB SOLUTION, LLC.
Entity type:Organization
Organization Name:TOTAL REHAB SOLUTION, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISHAN
Authorized Official - Middle Name:MOHAN
Authorized Official - Last Name:VAID
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:706-825-8056
Mailing Address - Street 1:PO BOX 59
Mailing Address - Street 2:
Mailing Address - City:GROVETOWN
Mailing Address - State:GA
Mailing Address - Zip Code:30813-0059
Mailing Address - Country:US
Mailing Address - Phone:706-825-8056
Mailing Address - Fax:678-737-1239
Practice Address - Street 1:4122 NICOLES LANE
Practice Address - Street 2:
Practice Address - City:GROVETOWN
Practice Address - State:GA
Practice Address - Zip Code:30813-4224
Practice Address - Country:US
Practice Address - Phone:706-825-8056
Practice Address - Fax:678-737-1239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty