| Organization Name: | TEAM REHABILITATION MT, LLC |
| NPI Number: | 1053359059 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES ROONEY (CLINIC DIRECTOR) |
| Mailing Address: | 15520 19 Mile Rd Suite 450 Clinton Township |
| State: | MI US |
| Postal Code: | 480386333 |
| Phone Number: | 5864162000 |
| Fax Number: | 5864162013 |
| NPI Enumeration Date: | 06/02/2006 |
| NPI Last Update Date: | 01/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |