Organization
ALTERNATIVE REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOBY RAJU MANIMALETHU PT (PRESIDENT)
(248) 476-6080
Entity
Organization
Contact information
Practice address
20319 FARMINGTON RD BLDG E, LIVONIA, MI 48152-1411
(248) 476-8911
(248) 476-8913
Mailing address
20319 FARMINGTON RD BLDG E, LIVONIA, MI 48152-1411
(248) 476-8911
(248) 476-8913
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501005163
MI
225100000X
Physical Therapist
5501006797
MI
225100000X
Physical Therapist
5501006800
MI
225100000X
Physical Therapist
5501007767
MI
225100000X
Physical Therapist
5501009312
MI
225100000X
Physical Therapist
5501009887
MI
225100000X
Physical Therapist
5501014812
MI
225100000X
Physical Therapist
Primary
5501014862
MI
225X00000X
Occupational Therapist
5201000980
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023177474
NPI OF SAKINA BOHRA
MI
01
—
1043309966
NPI OF TOBY MANIMALETHU
MI
01
—
1700945235
NPI OF DEEPAK SEBASTIAN
MI
01
—
1811056328
NPI OF RAMESH MALLADI
MI
01
—
1932298643
NPI OF THOMAS SYRIAC
MI
01
—
1982786554
NPI OF RAGHU CHOVVATH
MI
01
—
650H217590
OUR BCBS GROUP PIN
MI
01
—
670H200230
SAKINA BOHRA'S BCBS PIN
MI
Enumeration date
10/09/2006
Last updated
07/18/2014
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