# TOTAL CARE PHYSICAL THERAPY & REHABILITATION, INC

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

## Provider details

- **NPI number:** 1669479564
- **Authorized official:** MR. VIJAY MISHRA O.T. (ALTERNATE ADMINISTRATOR, OT)
- **Authorized official phone:** (586) 872-5133

## Contact information

- **Practice address:** 17950 WOODWARD AVE, 2ND FLOOR, DETROIT, MI 48203-2260
- **Practice address phone:** (313) 865-5200
- **Practice address fax:** (313) 865-5300
- **Mailing address:** 17950 WOODWARD AVE, 2ND FLOOR, DETROIT, MI 48203-2260
- **Mailing address phone:** (313) 865-5200
- **Mailing address fax:** (313) 865-5300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | MI | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 07/21/2022