Individual ProviderJoshua Abiodun ObiriPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5958 N Canton Center Rd Ste 300, Canton, MI 48187-2766(734) 212-5828(313) 515-6067PECOS EnrollmentBased on the most recent information from CMS, provider Joshua Abiodun Obiri 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 ID1730297839Provider TypeIndividualFull NameObiri, Joshua AbiodunTitleMr.CredentialB.SC RPTGenderMaleSole ProprietorNoEnumeration Date8/28/2006Last Updated11/18/2020Contact InformationPractice LocationPractice Address5958 N Canton Center Rd Ste 300, Canton, MI 48187-2766Phone(734) 212-5828Fax(734) 212-5827Mailing LocationMailing Address29757 Wexford Blvd, Novi, MI 48377-4401Phone(313) 515-6067FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5501005271MichiganProvider IdentifiersIDDescriptionIssuerID4693539DescriptionMedicaidIssuerUnlistedMichiganID65-0-H2-0226-0DescriptionOtherIssuerBCBSMichigan