Individual
EBRAM M FANOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
36430 VAN DYKE AVE, STERLING HEIGHTS, MI 48312-2746
(586) 335-8182
(248) 757-2330
Mailing address
3381 HIDDEN OAKS LN, WEST BLOOMFIELD, MI 48324-3256
(586) 335-8182
(248) 757-2330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011728
MI
Other
Enumeration date
08/09/2007
Last updated
11/05/2024
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