Susan Abraham
Individual provider Active NPI Physical Therapist · Fraser, MI
NPI 1508360983 · NPPES record last updated Mar 21, 2018
Key facts
- NPI
- 1508360983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501013478 (MI)
- Practice address
- 33300 Utica Rd
Fraser, MI 48026-2017 - Phone
- (586) 354-8139
- NPI assigned
- Mar 21, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501013478 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501013478 | MI | Yes |
Addresses
Primary practice location
33300 Utica Rd
Fraser, MI 48026-2017
Mailing address
33693 Stonecrest Dr
Sterling Heights, MI 48312-5786
Phone (586) 354-8139
Other providers in Fraser, MI
- Michael Richard Abood
- Eleen Abro
- Academy Medical Clinic, P.C.
- Aclass Towing & Recovery
- Advanced Dental Care PLLC
- Advanced Family Health.Com LLC
All providers in Fraser, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.