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Organization
KHANTHERAPY
Active
Organization
KHANTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KASI R NICHOLS (ADMINISTRATOR)
(586) 751-6667
Entity
Organization
Contact information
Practice address
29256 RYAN RD, WARREN, MI 48092-4242
(586) 751-6667
(586) 751-1888
Mailing address
29256 RYAN RD, WARREN, MI 48092-4242
(586) 751-6667
(586) 751-1888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004281
MI
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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