Individual ProviderRichard Alan FruitmanPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address42955 Ford Rd, Canton, MI 48187-3308(734) 981-2100PECOS EnrollmentBased on the most recent information from CMS, provider Richard Alan Fruitman 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 today at 9:43 AM.Profile DetailsProvider ID1710991674Provider TypeIndividualFull NameFruitman, Richard AlanTitleMr.CredentialMPTGenderMaleSole ProprietorNoEnumeration Date7/28/2006Last Updated6/25/2014Contact InformationPractice LocationPractice Address42955 Ford Rd, Canton, MI 48187-3308Phone(734) 981-2100Fax(734) 981-2622Mailing LocationMailing Address790 Remington Blvd, Bolingbrook, IL 60440-4909PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5501010181Michigan