Provider Demographics
NPI:1962600254
Name:UNITY PHYSICAL THERAPY AND REHABILITATION CENTER LLC
Entity type:Organization
Organization Name:UNITY PHYSICAL THERAPY AND REHABILITATION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER,ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRATINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-685-3836
Mailing Address - Street 1:209 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48654-9477
Mailing Address - Country:US
Mailing Address - Phone:989-685-3836
Mailing Address - Fax:989-685-3043
Practice Address - Street 1:209 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ROSE CITY
Practice Address - State:MI
Practice Address - Zip Code:48654-9477
Practice Address - Country:US
Practice Address - Phone:989-685-3836
Practice Address - Fax:989-685-3043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-07
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services