Provider Demographics
NPI:1932455219
Name:BRUHL, ALISHA R (PT)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:R
Last Name:BRUHL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4312 N HOLLAND SYLVANIA RD
Mailing Address - Street 2:APT. 211
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4700
Mailing Address - Country:US
Mailing Address - Phone:419-654-1738
Mailing Address - Fax:
Practice Address - Street 1:9368 N LILLEY RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-4610
Practice Address - Country:US
Practice Address - Phone:734-416-3900
Practice Address - Fax:734-416-3903
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5501015968225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist