Individual
MOHAMED MAKKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20905 GREENFIELD RD, SUITE 300 M, SOUTHFIELD, MI 48075-5360
(248) 234-8717
(248) 809-6852
Mailing address
26329 SIMONE ST, DEARBORN HEIGHTS, MI 48127
(313) 989-3036
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
465558663
MI
Other
Enumeration date
08/28/2016
Last updated
09/30/2016
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