Brian Dezelah
Physical Therapy Assistant · Clarkston, MI
NPI number
1801451760
Practice location
7508 M E Cad BlvdClarkston, MI 48348-4281
- Phone
- (248) 922-9200
- Fax
- (248) 922-9700
NPI record
- NPI
- 1801451760
- Entity type
- Individual (Type 1)
- Enumeration date
- May 7, 2019
- Last updated
- May 7, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
— | — |
Mailing address
PO Box 1708Clarkston, MI 48347-1708
- Phone
- (248) 922-9200
- Fax
- (248) 922-9700
About Brian Dezelah
Brian Dezelah is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 7508 M E Cad Blvd, Clarkston, MI 48348-4281. The NPI number 1801451760 was assigned on May 7, 2019 and the record was last updated on May 7, 2019.
Frequently asked questions
What is the NPI number of Brian Dezelah?
The NPI number is 1801451760.
What is the phone number of Brian Dezelah?
The phone number listed for the practice location is (248) 922-9200.
Where is Brian Dezelah located?
7508 M E Cad Blvd, Clarkston, MI 48348-4281.
What is the taxonomy code for Brian Dezelah?
The primary taxonomy code is 225200000X – Physical Therapy Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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