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General NPI Number Information
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NPI Number | 1861391237
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Entity Type | Organization
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Legal Business Name | PHYSIO PRO LLC
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 7633 E JEFFERSON AVE STE 170B
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City | DETROIT
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State | MI
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Zip | 48214-3731
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Country | US
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Telephone | 313-332-0783
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4236
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City | SOUTHFIELD
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State | MI
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Zip | 48037-4236
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Country | US
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Telephone | 248-215-0048
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Fax | 248-659-1822
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Authorized Official
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Title or Position | OWNER
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Name | ALI ALMOUSSAWI
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Credential |
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Telephone | 313-332-0783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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