Organization
JMK PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BANOUB PHD (OWNER)
(609) 903-8593
Entity
Organization
Contact information
Practice address
2120 15 MILE ROAD, STERLING HEIGHTS, MI 48310
(609) 903-8593
Mailing address
3896 DEER SPRINGS DR, ROCHESTER HILLS, MI 48306-4732
(609) 903-8593
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/11/2023
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