Individual
AJIESH AVIRAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
19556 HARPER AVE, HARPER WOODS, MI 48225-2037
(313) 885-6491
Mailing address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 885-6491
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014368
MI
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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