Provider Demographics
NPI:1053976753
Name:CARING TOUCH PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:CARING TOUCH PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAYADA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEWIDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-883-9323
Mailing Address - Street 1:31904 RYAN RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-1339
Mailing Address - Country:US
Mailing Address - Phone:586-883-9323
Mailing Address - Fax:
Practice Address - Street 1:31904 RYAN RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48092-1339
Practice Address - Country:US
Practice Address - Phone:586-883-9323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-08
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIPENDINGMedicaid