Individual
MR. ALI RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTAL, LMT
Contact information
Practice address
10400 HAMBURG ROAD, HAMBURG, MI 48139-0205
(810) 231-9042
(810) 231-9063
Mailing address
17452 HANOVER AVE, ALLEN PARK, MI 48101-2837
(810) 231-9042
(810) 231-9063
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
214471
TX
224Z00000X
Occupational Therapy Assistant
Primary
5202008228
MI
225700000X
Massage Therapist
7501000019
MI
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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