Provider Demographics
NPI:1891051637
Name:OAKLAND COUNTY THERAPY SERVICES LLC
Entity type:Organization
Organization Name:OAKLAND COUNTY THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEVIKA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MATHEW
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:248-495-8751
Mailing Address - Street 1:16960 WOODWORTH
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48240-2456
Mailing Address - Country:US
Mailing Address - Phone:248-495-8751
Mailing Address - Fax:248-495-8751
Practice Address - Street 1:16960 WOODWORTH
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48240-2456
Practice Address - Country:US
Practice Address - Phone:248-495-8751
Practice Address - Fax:248-495-8751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-05
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty