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Individual

DIANA KAMAL OSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
5601 HATCHERY RD, WATERFORD, MI 48329-3451
(248) 674-3479
Mailing address
11119 MAIN RD, FENTON, MI 48430-9717
(810) 937-9150

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1323107
TX
225200000X
Physical Therapy Assistant
22077702
TX
225200000X
Physical Therapy Assistant
5502001711
MI

Other

Enumeration date
11/11/2010
Last updated
03/20/2022
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