Organization
PRIME ONE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD BAZZI (MEMBER)
(313) 960-6767
Entity
Organization
Contact information
Practice address
1441 E MAPLE RD STE 102, TROY, MI 48083-4025
(313) 960-6767
(313) 357-3670
Mailing address
1441 E MAPLE RD STE 102, TROY, MI 48083-4025
(313) 960-6767
(313) 357-3670
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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