| Elizabath Shabu, | |
| 
					243 Cass Ave Ste A, Mount Clemens, MI 48043-2124  | |
| (586) 783-7590 | |
| Not Available | 
| Full Name | Elizabath Shabu | 
|---|---|
| Gender | Female | 
| Speciality | Physical Therapist | 
| Location | 243 Cass Ave Ste A, Mount Clemens, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265239750 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 5501303866 (Michigan) | Primary | 
| Provider Name | Cks Of Mt Clemens Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1619172673 PECOS PAC ID: 0446321038 Enrollment ID: O20080626000011  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Elizabath Shabu, 1773 Star Batt Dr, Rochester Hills, MI 48309-3708 Ph: (248) 601-9207  | Elizabath Shabu, 243 Cass Ave Ste A, Mount Clemens, MI 48043-2124 Ph: (586) 783-7590  | 
Surekha Samel,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000  | |
Michelle Lewinski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000  | |
Shabbir Hussain,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 198 S Main St Ste 1, Mount Clemens, MI 48043 Phone: 586-477-1402  | |
Gary Lutes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000  | |
Mr. Jose Luis C. Escudero, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-2044  | |
Heather Piper, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000  |