Individual
AMRIT HAELEN KHALSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15959 HALL RD STE 410, MACOMB, MI 48044-5365
(586) 416-6290
Mailing address
490 ACADEMY ST, FERNDALE, MI 48220-2821
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010271
MI
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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