Individual
IMRAN FAYYAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
39502 AUGUSTA AVE, STERLING HEIGHTS, MI 48313-5807
(586) 524-1994
(888) 422-9893
Mailing address
39502 AUGUSTA AVE, STERLING HEIGHTS, MI 48313-5807
(586) 524-1994
(888) 422-9893
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000213
MI
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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