Provider Demographics
NPI:1427414127
Name:SINA, KLAJDI (PT)
Entity Type:Individual
Prefix:DR
First Name:KLAJDI
Middle Name:
Last Name:SINA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21600 NOVI RD STE 600D
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-5605
Mailing Address - Country:US
Mailing Address - Phone:866-684-9280
Mailing Address - Fax:
Practice Address - Street 1:21600 NOVI RD STE 600D
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-5605
Practice Address - Country:US
Practice Address - Phone:866-684-9280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501017537225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist