Individual
IMEN HAROON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3039 RIVER MEADOW CIR, CANTON, MI 48188-2382
(313) 510-5227
(734) 495-0616
Mailing address
3039 RIVER MEADOW CIR, CANTON, MI 48188-2382
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
L1643299
MI
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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