# 1ST PRIORITY PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1134422363
- **Authorized official:** MR. MALIK FUQUA (OWNER)
- **Authorized official phone:** (248) 968-6899

## Contact information

- **Practice address:** 21700 GREENFIELD RD, OAK PARK, MI 48237-2581
- **Practice address phone:** (248) 968-6899
- **Mailing address:** 21700 GREENFIELD RD, OAK PARK, MI 48237-2581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2010
- **Last updated:** 12/20/2013