Organization
FITNESS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAHJEHAN ANWAR JAURA (PRESIDENT)
(248) 520-6860
Entity
Organization
Contact information
Practice address
6455 GRATIOT AVE, DETROIT, MI 48207-1808
(313) 921-8600
(313) 921-1712
Mailing address
2299 SAINT JOSEPH ST, WEST BLOOMFIELD, MI 48324-1869
(248) 520-6860
(248) 706-1562
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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