Individual
MR. FAIZAN MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
24637 JENNIFER DR, BROWNSTOWN, MI 48134-9145
(734) 686-4482
Mailing address
7405 COACH LN, WEST BLOOMFIELD, MI 48322-4022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015114
MI
Other
Enumeration date
11/25/2018
Last updated
11/25/2018
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