# ANGEL REHAB INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104291376
- **Authorized official:** MRS. ARCHANA TIWARI DPT (PRESIDENT)
- **Authorized official phone:** (586) 201-6658

## Contact information

- **Practice address:** 1259 BURNS DR, TROY, MI 48083-6317
- **Practice address phone:** (248) 743-2856
- **Practice address fax:** (248) 743-2856
- **Mailing address:** 1259 BURNS DR, TROY, MI 48083-6317
- **Mailing address phone:** (248) 743-2856
- **Mailing address fax:** (248) 743-2856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 5501008332 | MI | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 12/14/2015
- **Last updated:** 12/14/2015