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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ELIJA KAMAL SANSOM, M.P.T.

Active

MR. ELIJA KAMAL SANSOM, M.P.T. is a Physical Therapy Assistant healthcare provider located in WARREN, Michigan. NPI 1073724720 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WARREN, MI

Registration Details

NPI Number
1073724720
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2007 (19.217831749288 yrs)
Last Updated
Jul 11, 2023
License
5501010471 (MI)

Practice Information

Address
8381 E 12 MILE RD
WARREN, MI, 480932769
Browse MI providers · Browse ZIP 48093
Phone
5866981999
Fax
5865766531
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in WARREN, MI

Name Credential NPI
MRS. CHRISTINE MARIE KLEMMER PT 1487618823
LAURA MARIE CUMMINGS PT 1194827774
MUHAMMAD YAHYA KHAN PT 1922197938
PAUL MATTHEW ALLISON PT 1659451417
VOITEK MALINOWSKI PT 1366513046
MS. ADRIA M. PODLEWSKI M.P.T. 1023181179
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.