Antwan Faraj, DPT
Physical Therapist in Ferndale, MI. Individual provider (NPI-1).
NPI number1003361007
StatusActive
Last updated in NPPESJan 10, 2021
Details
- NPI
- 1003361007
- Entity type
- Individual (NPI-1)
- Name
- Antwan Faraj
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2016
- Certification date
- Jan 10, 2021
- Last updated
- Jan 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501017840 | MI | Yes |
Other names
- Tony Faraj (Other Name)
Practice location
668 E 9 Mile RdFerndale, MI 48220-1962
Phone 248-733-5052
Mailing address
344 E Harry AveHazel Park, MI 48030-2055
Phone 586-871-4805
Other practice locations
36654 Carriage Dr
Sterling Heights, MI 48310-4469
Sterling Heights, MI 48310-4469
Phone 586-871-4805
344 E Harry Ave
Hazel Park, MI 48030-2055
Hazel Park, MI 48030-2055
Phone 586-871-4805
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