Individual
AHINZE CAJETAN OSUAMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
5747 N BERRY ST, WESTLAND, MI 48185-8101
(734) 674-1168
Mailing address
5747 N BERRY ST, WESTLAND, MI 48185-8101
(734) 674-1168
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005748
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4370968
—
MI
Enumeration date
02/18/2007
Last updated
11/13/2009
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