Individual
MATTHEW SANBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
27652 FRANKLIN RD, SOUTHFIELD, MI 48034-8200
(248) 359-8700
(248) 359-8703
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004981
MI
Other
Enumeration date
11/18/2022
Last updated
12/23/2024
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