ELIJA KAMAL SANSOM

WARREN, MI
NPI1073724720
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501010471)
Enumeration Date2007-05-24
Last Update Date2023-07-11
Business Address
Mr. ELIJA KAMAL SANSOM M.P.T.
8381 E 12 MILE RD
WARREN, MI 48093-2769
Phone number: 586-698-1999
Mailing Address
Mr. ELIJA KAMAL SANSOM M.P.T.
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 866-370-8206
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