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Individual

DR. HISHAM FITTAHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT, C/NDT

Contact information

Practice address
2928 OAKWOOD BLVD, MELVINDALE, MI 48122-1244
(313) 436-4984
Mailing address
2928 OAKWOOD BLVD, MELVINDALE, MI 48122-1244
(134) 364-9843

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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