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

EDEWOR SPLENDID NANA, PT

Active

EDEWOR SPLENDID NANA, PT is a Physical Therapy Assistant healthcare provider located in SOUTHFIELD, Michigan. NPI 1639249931 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SOUTHFIELD, MI

Registration Details

NPI Number
1639249931
Provider Type
Individual
Gender
Male
NPI Issued
Nov 8, 2006 (19.768717286648 yrs)
Last Updated
Jul 27, 2022
License
5501006444 (MI)

Practice Information

Address
17500 NORTHLAND PARK CT STE 1
SOUTHFIELD, MI, 480754324
Browse MI providers · Browse ZIP 48075
Phone
3133887110
Fax
3133887424
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SOUTHFIELD, MI

Name Credential NPI
MRS. REBECCA KANTOR MPT 1962478099
MRS. MICHELE G WEISS PT 1649239070
MR. SANJAY UPPAL P.T, MHS 1508827544
MRS. ARCHANA UPPAL P.T, MHS 1871554816
MS. JOAN CHRISTINE SACKSTEDER P.T. 1457312167
MR. GEORGE O ANDOOPARAMPIL PT 1548223639
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.