Individual
MR. JOSHUA ABIODUN OBIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.SC RPT
Contact information
Practice address
5958 N CANTON CENTER RD STE 300, CANTON, MI 48187-2766
(734) 212-5828
(734) 212-5827
Mailing address
29757 WEXFORD BLVD, NOVI, MI 48377-4401
(313) 515-6067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005271
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4693539
—
MI
01
—
65-0-H2-0226-0
BCBS
MI
Enumeration date
08/28/2006
Last updated
11/18/2020
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