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Individual
TABETHA KASSAB
Active
Individual
TABETHA KASSAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
MI
363A00000X
Physician Assistant
Primary
5601011082
MI
Other
Enumeration date
03/31/2021
Last updated
03/09/2026
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