MEDICARE: TAMER A. EL-BOHY DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5501016761	MI

General Provider Information

NPI Number	:	1063802387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMER A. EL-BOHY DPT

Provider Business Mailing Address
First Line	:	7125 ORCHARD LAKE RD
Second Line	:	SUITE 210
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3615
Country	:	US
Telephone Number	:	586-698-2842
Fax Number	:	586-698-2897

Provider Business Practice Location Address
First Line	:	34514 DEQUINDRE RD
Second Line	:	SUITE A3
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-5232
Country	:	US
Telephone Number	:	586-698-2842
Fax Number	:	586-698-2897

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2015
Last Update Date	:	01/26/2015

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