Individual
EMILY BRUSHABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5405 LANCASTER HILLS DR, 42, CLARKSTON, MI 48346-4426
(248) 622-7990
Mailing address
PO BOX 1822, CLARKSTON, MI 48346
(248) 622-7990
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004861A
IN
225200000X
Physical Therapy Assistant
5502002630
MI
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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