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Organization
PHYSIO MATRIX INC.
Active
Organization
PHYSIO MATRIX INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAIM M KHANAFER (PRESIDENT)
(313) 846-9250
Entity
Organization
Contact information
Practice address
15841 W WARREN AVE, DETROIT, MI 48228-3737
(313) 846-9250
(313) 846-9325
Mailing address
15841 W WARREN AVE, DETROIT, MI 48228-3737
(313) 846-9250
(313) 846-9325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012446
MI
Other
Enumeration date
07/31/2006
Last updated
12/03/2007
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