Provider Demographics
NPI:1356369102
Name:ALI, SALMAN (PT)
Entity type:Individual
Prefix:
First Name:SALMAN
Middle Name:
Last Name:ALI
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 1:21700 GREENFIELD RD STE 380
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2581
Mailing Address - Country:US
Mailing Address - Phone:248-971-5256
Mailing Address - Fax:248-737-8259
Practice Address - Street 1:21700 GREENFIELD RD STE 380
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2581
Practice Address - Country:US
Practice Address - Phone:248-971-5250
Practice Address - Fax:248-737-8259
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501004866225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0F35822OtherBCBS
MI0F35822OtherBCBS