Individual
MR. MOHAMED IBRAHIM BAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201
(810) 333-1822
Mailing address
21740 HOMER ST, DEARBORN, MI 48127-2927
(810) 333-1822
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013874
MI
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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