Individual
IJAZ AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5451 BENTLEY RD, #203, WEST BLOOMFIELD, MI 48322-2176
(734) 556-0738
Mailing address
5451 BENTLEY RD, APT # 203, WEST BLOOMFIELD, MI 48322-2176
(248) 893-7008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006118
MI
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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