Individual
ANTWAN FARAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
668 E 9 MILE RD, FERNDALE, MI 48220-1962
(248) 733-5052
Mailing address
344 E HARRY AVE, HAZEL PARK, MI 48030-2055
(586) 871-4805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017840
MI
Other
Enumeration date
08/18/2016
Last updated
01/10/2021
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