Provider Demographics
NPI:1053478685
Name:ELMARAKBY, EMAD (DPT)
Entity Type:Individual
Prefix:MR
First Name:EMAD
Middle Name:
Last Name:ELMARAKBY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6316 BROOKINGS DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-1862
Mailing Address - Country:US
Mailing Address - Phone:248-879-7510
Mailing Address - Fax:248-879-7510
Practice Address - Street 1:2565 S ROCHESTER RD
Practice Address - Street 2:SUITE 108 A
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4472
Practice Address - Country:US
Practice Address - Phone:248-844-2644
Practice Address - Fax:248-844-2645
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501007293225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist