Healthcare Provider Details

I. General information

NPI: 1992615629
Provider Name (Legal Business Name): JONALYN DAMASO BUJAUE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JONALYN QUINAY DAMASO PT

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 DECKER RD
COMMERCE TOWNSHIP MI
48390-3625
US

IV. Provider business mailing address

22335 CASCADE DR
NOVI MI
48375-4913
US

V. Phone/Fax

Practice location:
  • Phone: 248-403-9304
  • Fax:
Mailing address:
  • Phone: 248-403-9304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501017639
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: