| Organization Name: | TRISTAR REHAB SERVICES, INC |
| NPI Number: | 1508067893 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SURESH CHAND (ADMINISTRATOR) |
| Mailing Address: | 7200 E 10 Mile Rd Center Line |
| State: | MI US |
| Postal Code: | 480151400 |
| Phone Number: | 5867546308 |
| Fax Number: | 5867546309 |
| NPI Enumeration Date: | 05/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |