Wave Medical Center Pllc

LBN: Wave Medical Center Pllc
Wave Medical Center Pllc is an health care organization with primary practice located at 17600 W Warren Ave , Detroit MI 48228-3509. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Home Health, Agencies / Community/Behavioral Health. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is the primary health care specialty. Wave Medical Center Pllc can be contacted via phone (313) 903-3338, or through Jassim, Nergis via phone (313) 903-3338.

Contact Information

Primary practice address
17600 W Warren Ave Detroit MI 48228-3509
Phone: (313) 903-3338
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jassim, Nergis Registered Occupational Therapist (OTR)
Phone: (313) 903-3338

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Home Health 251E00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1396401543
LBN Legal business name Wave Medical Center Pllc
DBA Doing business as
Authorized official Jassim, Nergis Registered Occupational Therapist (OTR)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2021
Last updated Nov 13th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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