Individual
FARYAL SHAHEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 GRAND RIVER AVE, DETROIT, MI 48204-2132
(313) 491-7920
Mailing address
9500 GRAND RIVER AVE, DETROIT, MI 48204-2132
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009711
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
MI
Enumeration date
05/21/2019
Last updated
05/21/2019
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