Individual ProviderTara SyjudPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5969 N Canton Center Rd, Canton, MI 48187-2757(877) 407-3422PECOS EnrollmentBased on the most recent information from CMS, provider Tara Syjud does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1326782087Provider TypeIndividualFull NameSyjud, TaraGenderFemaleSole ProprietorNoEnumeration Date4/27/2022Last Updated4/4/2023Contact InformationPractice LocationPractice Address5969 N Canton Center Rd, Canton, MI 48187-2757Phone(877) 407-3422Fax(877) 407-4329Mailing LocationMailing Address7 Carnegie Plz, Cherry Hill, NJ 08003-1000Phone(877) 407-3422Fax(877) 407-4329Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5501301864Michigan