Individual
DISHA LAKHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, OMPT
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201
(248) 593-3175
(248) 593-3176
Mailing address
261 MACK AVE, DETROIT, MI 48201-2417
(248) 854-4980
(248) 593-3176
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501013905
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5501013905
—
MI
Enumeration date
06/04/2018
Last updated
06/11/2018
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