Organization
NESAM CONCEPTS PHYSICAL THERAPY& REHABILITATION
Active
Other names
Nesam Concepts Physical Therapy & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
EDEWOR SPLENDID NANA PT (PHYSICAL THERAPIST)
(313) 388-7110
Entity
Organization
Contact information
Practice address
17500 NORTHLAND PARK CT STE 1, SOUTHFIELD, MI 48075-4324
(313) 388-7110
(313) 388-7424
Mailing address
752 SOUTHFIELD ROAD, LINCOLN PARK, MI 48146
(313) 388-7110
(313) 388-7424
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501006444
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4297616
—
MI
01
—
P112871
BSBS
—
Enumeration date
11/08/2006
Last updated
07/27/2022
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