Individual
OBAIDULLAH FAROOQ AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
18591 QUARRY ST, RIVERVIEW, MI 48193-4522
(734) 934-3929
Mailing address
15672 GOLFVIEW DR CT, RIVERVIEW, MI 48193-8003
(734) 934-3929
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003901
MI
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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