Individual
DR. HISHAM FITTAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, C/NDT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013717
MI
2251G0304X
Geriatric Physical Therapist
5501013717
MI
2251H1200X
Hand Physical Therapist
5501013717
MI
2251N0400X
Neurology Physical Therapist
5501013717
MI
2251S0007X
Sports Physical Therapist
5501013717
MI
2251X0800X
Orthopedic Physical Therapist
5501013717
MI
Other
Enumeration date
02/19/2018
Last updated
10/13/2022
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