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Individual

DISHA CHABLANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT, OMPT

Contact information

Practice address
261 MACK AVE, DETROIT, MI 48201-2417
(248) 593-3175
(248) 593-3176
Mailing address
3978 MESA DR, TROY, MI 48083-6510
(248) 854-4980
(248) 593-3176

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501013905
MI
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
07/07/2026
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